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目的探讨三级康复治疗对青年脑卒中运动功能障碍及认知功能障碍的改善作用。方法将青年脑卒中患者92例随机分为康复治疗组和常规治疗组各46例。康复治疗组在常规治疗基础上给予三级康复治疗,常规治疗组仅采用常规治疗,观察2组治疗前及治疗后6个月时的运动功能评分及认知功能评分。结果治疗后6个月时,康复治疗组、常规治疗组简化Fugl-Meyer评分及FCA评分均明显高于治疗前(P均<0.05),且康复治疗组提高程度均明显高于常规治疗组(P均<0.05)。结论常规治疗同时给予三级康复治疗能有效促进青年脑卒中患者的运动及认知功能恢复,从而降低病残率、病死率,有利于患者尽早康复回归社会。
Objective To explore the effect of three levels of rehabilitation on motor dysfunction and cognitive dysfunction in stroke patients. Methods 92 young patients with stroke were randomly divided into rehabilitation treatment group and conventional treatment group of 46 cases. The rehabilitation treatment group was given tertiary rehabilitation treatment on the basis of routine treatment. The conventional treatment group was treated only routinely. The scores of motor function and cognitive function before and 6 months after treatment were observed in both groups. Results At 6 months after treatment, the simplified Fugl-Meyer score and FCA score in rehabilitation group and routine treatment group were significantly higher than those before treatment (all P <0.05), and were significantly higher in rehabilitation group than those in routine treatment group P <0.05). Conclusions Routine treatment combined with tertiary rehabilitation therapy can effectively promote the recovery of motor and cognitive function in young stroke patients, so as to reduce the morbidity and mortality and help the patients return to society as soon as possible.