Background:Early rehabilitative inervention is essential for improving quality of life in elders with stroke.32 patients received early rehabilitative intervention.We analyzed effect of early rehabilitative intervention in improving functional recovery,preventing and reducing disability. Objective:To investigate effect of early rehabilitative intervention on nerve function in elders with stroke. Unit:Intraneura Department,Tanghai County Hospital,Hebei Province. Subjects:62 patients(36 males,26 females,aged 60～ 78,mean age:70.4) were recruited from intraneural department during January,1999 ～ January 2000.All patients were confirmed by skull CT.Diagnosis was done according to diagnostic standards issued in 4th national cerebrovascular disease meeting.All patients experienced first onset of cerebrovascular disease.34 patients suffered from brain infarction,28 from brain hemorrhage.All patients were randomly divided into two groups,rehabilitation group(n=32),control group(n=30).There were no obvious differences in disease type,sex and age. Intervention:Two groups received routine drug therapy and nonoperational thrombolysis management.Rehabilitation management was initiated in rehabilitation group 48 hours after stable disease status was obtained.In the early phase,good limbs position training in bed,body position exchanges,limbs and passive movement,shift and turning over were carried out.Anti-resistant movement was performed from distal end of limbs to near end.Patients were helped to sit,stand and walk,once per day,40 min /once. Above movement was performed under direction of staffs.Acupuncture and physical therapy were also conducted. Main prognosis indexes:Fugl-meyer scoring was used to evaluate motor function before treatment and 2 months after treatment.Modified Barthel index was used to evaluate ADL. Results:Fugl-meyer score was (32.7± 23.2)and (66.2± 29.8) in rehabilitation group before and after treatment respectively.For control group,Fugl-meyer score was (31.9± 23.1) and (40.3± 23.2) before and after treatment respectively.ADL score was (28.2± 11.9) and (40.5± 8.7) in rehabilitation group before and after treatment respectively.In control group, ADL score was (27.2± 11.3) and (30.2± 10.3) in rehabilitation group before and after treatment respectively.Before treatment, two groups showed no significant difference in score,while posttreatment difference was significant(P< 0.05). Conclusion:Early rehabilitative management improves physiological function and quality of life in elders with stroke. rn