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目的探讨早期系统康复训练对脑梗死偏瘫患者的运动功能、生活能力恢复的影响。方法将126例脑梗死偏瘫患者随机分为治疗组及对照组,各63例,两组均给予神经内科常规治疗。治疗组在常规治疗基础上早期(入院24h后)接受系统的康复训练,两组分别于入院后24h内和出院前24h评定患者运动功能、日常生活活动能力。结果治疗组及观察组入院时运动功能(FMA)评分及日常生活活动能力Barthel指数差异无统计学意义(P>0.05),出院时治疗组FMA及Barthel指数显著提高,两组间比较差异有统计学意义(P<0.01)。结论早期系统康复训练治疗对脑梗死患者肢体运动功能及生活能力改善有明显促进作用。
Objective To investigate the effects of early systematic rehabilitation training on motor function and life-ability recovery in hemiparetic patients with cerebral infarction. Methods 126 cases of cerebral infarction patients with hemiplegia were randomly divided into treatment group and control group, each 63 cases, both groups were given conventional neurological treatment. The treatment group received systematic rehabilitation training on the basis of routine treatment (24h after admission), and the two groups were respectively assessed motor function and activities of daily living 24h after admission and 24h before discharge. Results There was no significant difference in the score of motor function (FMA) and Barthel index of activities of daily living between the treatment group and the observation group on admission (P> 0.05), and the FMA and Barthel index of the treatment group were significantly increased after discharge Significance (P <0.01). Conclusion Early systematic rehabilitation training can significantly improve the motor function and life skills of patients with cerebral infarction.