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目的:探讨早期综合康复治疗对急性脑卒中偏瘫患者运动功能和日常生活能力的影响。方法:80例急性脑卒中偏瘫患者随机分成康复组和对照组各40例。两组神经内科常规治疗相同,康复组同时由经过专业训练的治疗师给予系统的综合康复训练。结果:采用FMA评分进行运动功能评定,采用Barthel指数进行ADL评定,治疗前两组评分差异均无显著性(P>0.05);治疗4周后康复组评分均明显优于对照组(P<0.05)。结论:早期综合康复训练可以促进脑卒中偏瘫病人运动功能恢复,提高日常生活能力,降低残废率。
Objective: To investigate the effect of early comprehensive rehabilitation on motor function and daily living ability in patients with hemiplegia after acute stroke. Methods: Eighty patients with acute stroke were randomly divided into rehabilitation group (40 cases) and control group (40 cases). The two groups of neurology routine treatment of the same, rehabilitation group by the professionally trained therapist to give the system of comprehensive rehabilitation training. Results: The motor function was assessed by FMA score. The Barthel index was used for ADL evaluation. There was no significant difference between the two groups before treatment (P> 0.05). After 4 weeks of treatment, the score of rehabilitation group was significantly better than that of control group (P <0.05) ). Conclusion: Early comprehensive rehabilitation training can promote the recovery of motor function in stroke patients with hemiplegia, improve the daily living ability and reduce the disability rate.