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目的探讨脑卒中偏瘫患者早期康复训练对运动功能的影响。方法选择脑卒中患者136例,随机分为康复组和对照组,其中康复组70例,对照组66例,两组在年龄、性别、发病性质、发病时间、严重程度、合并症状等方面差异均无统计学意义(P>0.05)。两组除同时进行常规药物治疗和护理外,康复组在患者生命体征平稳后即开始系统的康复训练。两组在出院时采用Barthel指数评分法进行评分。结果两组患者在出院时进行Barthel指数评分,康复训练组Barthel指数评分>60分者明显高于对照组,单因素方差分析证明两组患者在运动能力及生活自理能力方面差异具有统计学意义(P<0.01)。结论早期康复训练有利于脑卒中偏瘫患者的肢体功能恢复,有效降低卒中后的致残率,显著提高脑卒中偏瘫患者的日常生活活动能力。
Objective To investigate the effect of early rehabilitation training on motor function in stroke patients with hemiplegia. Methods Thirty-six stroke patients were randomly divided into rehabilitation group and control group, including 70 cases in rehabilitation group and 66 cases in control group. There were significant differences in age, sex, onset of disease, onset time, severity, and comorbidity between the two groups No statistical significance (P> 0.05). In addition to the two groups in addition to conventional drug treatment and care, the rehabilitation group in patients with stable vital signs began a systematic rehabilitation training. Barthol index scores were used for both groups at discharge. Results The Barthel index scores of the two groups were evaluated at discharge. The Barthel index score of rehabilitation training group was higher than that of the control group. The one-way analysis of variance showed that there was significant difference between the two groups in exercise ability and self-care ability P <0.01). Conclusion Early rehabilitation training is beneficial to the recovery of limb function in patients with hemiplegia after stroke, effectively reducing the disability rate after stroke and significantly improving the activities of daily living in stroke patients with hemiplegia.