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目的研究探讨早期康复治疗对脑卒中偏瘫患者功能恢复的临床效果。方法选择2015年2月至2016年8月期间我院收住治疗的92例脑卒中偏瘫患者为研究对象,给予随机分为2组,观察组和对照组均46例,两组均同时接受神经内科常规治疗,对照组在治疗同时进行自我锻炼,而观察组则在患者生命体征平稳后1周内由康复师指导进行床上功能训练、站立行走康复训练和肌肉电刺激等康复治疗。结果经6~8周相应的治疗后,观察组与对照组Fug-Meyer运动功能评定及a DL评分均有一定程度的改善,但其改善幅度观察组明显优于对照组(P<0.05)。结论脑卒中偏瘫患者进行早期康复治疗,能明显改善肢体运动功能,提高日常生活能力,促使患者的肢体功能恢复迅速,改善患者的神经功能缺损情况。
Objective To study the clinical effect of early rehabilitation on hemiplegic stroke patients with functional recovery. Methods From February 2015 to August 2016, 92 patients with hemiplegia stroke admitted to our hospital were selected and randomly divided into two groups, 46 cases in both observation and control groups. Both groups also received nerve The patients in the control group were self-exercising at the same time as the patients in the control group while the observation group were instructed by the convalescent teachers to perform bed functional training, standing walking rehabilitation training and muscle electrical stimulation within one week after the patient’s vital signs were stable. Results After 6 to 8 weeks of treatment, the Fug-Meyer motor function and a DL score of the observation group and the control group all improved to a certain extent. However, the observation group was better than the control group (P <0.05). Conclusions Early rehabilitation of stroke patients with hemiplegia can significantly improve limb motor function, improve daily living ability, promote rapid recovery of limb function and improve neurological deficits in patients.