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目的探索早期康复治疗对老年脑卒中患者预后的影响。方法入选2008年1月至2010年11月收治的急性脑卒中患者150例,其中康复组80例,对照组70例,对所有患者在入院24h内及入院后21d、35d采用神经功能缺损评分(NIHSS)评定其肢体运动功能状态;于治疗后35d采用Barthel指数(BI)评定其日常生活活动能力,同时统计其并发症及住院费用。结果康复组的肢体功能缺损评分在治疗后明显低于对照组(P<0.05),BI评分明显高于对照组(P<0.05),而其并发症及住院费用明显低于对照组(P<0.05)。结论早期康复治疗可以明显促进卒中患者肢体功能的恢复,增强患者的自理能力,减少并发症的产生,减轻患者负担,对老年患者是有效和安全的。
Objective To explore the effect of early rehabilitation on the prognosis of elderly stroke patients. Methods A total of 150 acute stroke patients admitted from January 2008 to November 2010 were enrolled in this study. Among them, 80 patients in the rehabilitation group and 70 patients in the control group were treated with neurological deficit score (within 24 hours after admission and within 21 days after admission and 35 days after admission) NIHSS) were used to assess the motor function of limbs. Barthel index (BI) was used to evaluate the activities of daily living on the 35th day after treatment. The complication and hospitalization costs were also calculated. Results The functional impairment score of rehabilitation group was significantly lower than that of control group after treatment (P <0.05), BI score was significantly higher than that of control group (P <0.05), and complications and hospitalization costs were significantly lower than those of control group (P < 0.05). Conclusion Early rehabilitation treatment can significantly promote the recovery of limb function in patients with stroke, enhance patients’ self-care ability, reduce the incidence of complications and reduce the burden on patients, which is effective and safe for elderly patients.