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目的探讨个体化主动康复对脑卒中偏瘫患者下肢运动功能的影响。方法将60例发病2～12周的脑卒中偏瘫患者随机分组为个体化主动运动康复治疗组(A组)和传统被动运动康复对照组(B组),两组患者的常规内科治疗相同,分别于入组时、治疗8周末,采用简化Fugi-Meyer运动功能量表对下肢运动功能进行评定。结果治疗后A组和B组患者的简化Fugi-Meyer下肢运动功能评分值与治疗前相比具有统计学意义(P<0.01);且A组患者治疗后其简化Fugi-Meyer下肢运动功能评分值及差值均明显高于B组(P<0.05)。结论个体化主动运动康复训练能更明显地提高脑卒中偏瘫患者的下肢运动功能。
Objective To explore the effect of individualized active rehabilitation on motor function of lower extremities in patients with hemiplegia after stroke. Methods Sixty patients with hemiplegia after stroke for 2 ~ 12 weeks were randomly divided into individual active motor rehabilitation group (A group) and traditional passive motor rehabilitation control group (B group). The two groups of patients received the same routine medical treatment At the end of 8 weeks of treatment, the motor function of the lower limbs was assessed using the simplified Fugi-Meyer motor function scale. Results After treatment, the scores of simplified Fugi-Meyer lower extremity motor function of patients in group A and group B were significantly lower than those before treatment (P <0.01); and the score of Fugi-Meyer lower limb motor function in group A And the differences were significantly higher than the B group (P <0.05). Conclusion Individualized active motor rehabilitation training can significantly improve lower extremity motor function in stroke patients with hemiplegia.