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目的 :观察早期主动性康复治疗对重度偏瘫的脑卒中患者运动功能恢复的影响。方法 :在沧州市两所二级医院选重度瘫痪的脑卒中偏瘫患者 10 1例 ,康复组 5 7例 ,对照组 44例。在残损和残疾两个水平上评测患者功能。比较康复治疗后两组间的差异。结果 :初次评测的各主要指标两组间无明显差别 (P >0 .0 5 ) ;末次评测的运动功能的FMA上肢、FMA下肢、FIM -ADLs、FIM -Mobility和FIM每周增加值的结果 ,对照组分别为 11.36± 11.89、12 .91± 9.13、2 5 .45± 8.0 2、9.84± 8.49、2 6 .14± 10 .0 3和 4.82± 4.5 6 ,康复组分别为 2 7.6 8± 2 0 .91、2 0 .0 4± 9.2 2、31.96± 10 .41、15 .6 7± 8.19、2 8.5 6± 9.31和 8.93± 5 .2 7,两组间有显著性差异 (P <0 .0 5 )。结论 :早期主动性的康复治疗可以促进重度瘫痪的脑卒中患者的运动功能的改善。
Objective: To observe the effect of early active rehabilitation on recovery of motor function in patients with severe hemiplegia after stroke. Methods: One hundred and eleven cases of stroke hemiplegia were selected from two secondary hospitals in Cangzhou, 57 in rehabilitation group and 44 in control group. Evaluate patient function on both the disability and disability levels. Compare the differences between the two groups after rehabilitation. Results: There was no significant difference between the two groups (P> 0.05) for the main indexes of the first evaluation; the results of the last evaluation of the motor function of the FMA upper limbs, FMA lower limbs, FIM-ADLs, FIM-Mobility and FIM weekly value , The control group were 11.36 ± 11.89,12.91 ± 9.13,25.45 ± 8.02,9.84 ± 8.49,26.14 ± 10.0.3 and 4.82 ± 4.56, respectively, and the rehabilitation group was respectively 2 7.68 ± 2 0 .91, 20 04 ± 9.2 2 31.96 ± 10 .41,15 .67 ± 8.19,2 8.5 6 ± 9.31 and 8.93 ± 5 .2 7, there was a significant difference between the two groups (P < 0 .0 5). CONCLUSIONS: Early active rehabilitation can improve motor function in stroke patients with severe paralysis.