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目的:观察早期综合康复治疗中青年急性脑梗死的临床疗效。方法:将中青年急性脑梗死105例随机分为观察组65例和对照组40例。对照组采用常规治疗,包括调控血压、减轻脑水肿、防止并发症、维持水电解质平衡及营养支持治疗等;观察组在对照组治疗的基础上进行早期综合康复治疗,包括心理调整、功能训练及物理治疗等,比较两组神经功能缺损评分(NIHSS)及BarthelIdex(BI)指数。结果:治疗前两组NIHSS评分及BI指数差异不显著(P>0.05);治疗4周后,两组NIHSS评分非常显著低于治疗前,BI指数非常显著高于治疗前(P<0.01);治疗4周后,观察组NIHSS评分显著低于对照组,BI指数显著高于对照组(P<0.05)。结论:早期综合康复治疗有助于脑梗死患者神经功能的恢复,可提高生活质量。
Objective: To observe the early comprehensive rehabilitation of young patients with acute cerebral infarction clinical efficacy. Methods: A total of 105 middle-aged and young patients with acute cerebral infarction were randomly divided into observation group (65 cases) and control group (40 cases). The control group received routine treatment including blood pressure control, cerebral edema reduction, prevention of complications, maintenance of water and electrolyte balance and nutrition supportive treatment. The observation group received early comprehensive rehabilitation treatment based on the control group, including psychological adjustment, functional training and Physical therapy and so on. The NIHSS and Barthel Index (BI) index were compared between the two groups. Results: There was no significant difference in NIHSS score and BI index between the two groups before treatment (P> 0.05). After 4 weeks of treatment, the NIHSS scores of the two groups were significantly lower than before treatment, and BI index was significantly higher than before treatment (P <0.01). After 4 weeks of treatment, the NIHSS score of the observation group was significantly lower than that of the control group, and the BI index was significantly higher than that of the control group (P <0.05). Conclusion: Early comprehensive rehabilitation therapy can help to restore the neurological function of patients with cerebral infarction and improve the quality of life.