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目的:探讨家属早期参与强化康复治疗对急性脑卒中患者神经功能缺损、运动功能及日常生活能力的影响。方法:142例急性脑卒中患者随机分为康复组(88例)及对照组(54例),康复组在常规药物治疗同时,进行家属早期参与强化康复治疗,对照组仅采用常规药物及一般康复治疗。35 d后分别评价2组患者的神经功能缺损评分、Fugl-Meyer的运动功能积分及日常生活活动能力评分。结果:治疗后2组的神经功能缺损评分、Fugl-Meyer的运动功能积分及日常生活能力评分与治疗前比较差异有统计学意义(P<0.01),康复组各指标的改善明显优于对照组(P<0.01)。结论:家属早期参与强化康复治疗能有效改善急性脑卒中偏瘫患者的运动功能,提高生活能力,减少神经功能缺损。
Objective: To investigate the effects of early family members participating in intensive rehabilitation on neurological impairment, motor function and daily living ability in patients with acute stroke. Methods: A total of 142 patients with acute stroke were randomly divided into rehabilitation group (88 cases) and control group (54 cases). In the rehabilitation group, the family members participated in the intensive rehabilitation treatment at the same time, while the control group only received conventional drugs and general rehabilitation treatment. After 35 days, the neurological deficit scores, motor function scores and daily living activity scores of Fugl-Meyer were evaluated respectively in two groups. Results: After treatment, neurological deficit score, motor function score and daily living ability score of Fugl-Meyer were significantly different from those before treatment (P <0.01), and improvement of each index of rehabilitation group was obviously better than that of control group (P <0.01). Conclusion: The early participation of family members in intensive rehabilitation can effectively improve the motor function, improve the living ability and reduce the neurological deficits in acute stroke patients with hemiplegia.