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[目的]观察急性脑卒中患者早期综合康复介入的效果,确定最为合适的康复时机,使患者达到最为理想的治疗效果。[方法]将96例脑卒中患者随机分为观察组50例和对照组46例,对照组接受常规治疗,康复介入时间晚,观察组在常规治疗的基础上同时实施综合康复训练,比较两组患者介入康复后并发症的发生和生活质量的变化。[结果]观察组介入康复训练后效果明显优于对照组(P﹤0.05)。早期康复介入前后,观察组患者的脉率、血压平稳,变化不显著(P﹥0.05)。两组患者介入康复后Brunnstrom评分、FMA评分及神经功能缺损评分比较差异有统计学意义(P﹤0.05),而两组患者的并发症比较差异有统计学意义(P﹤0.05)。[结论]早期康复的介入可改善脑卒中患者的焦虑、恐惧心理,减少因绝对卧床而导致的多种并发症的发生,从而提高生活质量,使患者能更好地回归家庭与社会。
[Objective] To observe the effect of early comprehensive rehabilitation intervention in patients with acute stroke to determine the most appropriate timing of rehabilitation so that the patients achieved the most ideal therapeutic effect. [Methods] A total of 96 stroke patients were randomly divided into observation group (n = 50) and control group (n = 46). The control group received routine treatment and the rehabilitation intervention time was later. The observation group was also given comprehensive rehabilitation training on the basis of routine treatment. Patients involved in rehabilitation complications and the quality of life changes. [Results] The intervention group was significantly better than the control group after intervention (P <0.05). Before and after the intervention of early rehabilitation, the pulse rate and blood pressure of the observation group were stable and the changes were not significant (P> 0.05). Brunnstrom score, FMA score and neurological deficit score were significantly different between the two groups after intervention (P <0.05), while there was significant difference between the two groups in complication (P <0.05). [Conclusion] The intervention of early rehabilitation can improve the anxiety and fear of stroke patients and reduce the occurrence of various complication caused by absolute bed rest, so as to improve the quality of life and make the patients return to the family and society better.