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目的探讨美多巴结合强化训练疗法对脑梗死患者偏瘫肢体功能恢复的影响。方法80例脑梗死偏瘫患者随机分为美多巴组和安慰剂组,两组患者均接受神经内科常规药物治疗和运动再学习强化训练治疗,美多巴组患者每天在运动治疗前30min服用美多巴0.25g,而对照组患者每天在运动治疗前30min则服用安慰剂。以Fugl-Meyer评分法、Barthel指数进行治疗前、后评定。结果美多巴组患者运动功能及日常生活活动能力改善上,与对照组相比,差异有统计学意义(P<0.01)。结论美多巴结合强化训练疗法有利于提高脑梗死患者偏瘫肢体的综合能力。
Objective To investigate the effect of combined therapy of Madopar and intensive training on the recovery of hemiplegia in patients with cerebral infarction. Methods Eighty patients with hemiplegia of cerebral infarction were randomly divided into two groups: metoprolol group and placebo group. Patients in both groups received routine medical treatment of neurology and intensive training of exercise re-study. Patients in metopar group took 30 minutes before exercise treatment Dopa 0.25g, while the control group patients daily placebo 30min before exercise treatment. Fugl-Meyer score, Barthel index before and after treatment assessment. Results Compared with the control group, the motor function and activities of daily living in the patients with metoprolol improved significantly (P <0.01). Conclusion Combined treatment of Madopar and enhanced hemiplegia in patients with cerebral infarction is conducive to improving the comprehensive ability of the limbs.