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目的探讨脑梗死后不同时期介入康复,在运动功能及ADL方面的疗效。方法回顾性分析108例脑梗死患者,根据康复介入的时间,将患者分为5组:1组≤1月,2组1～3月,3组3～6月,4组0.5～1年,5组1～2年。于治疗前后1个月评定患肢的运动功能及手的运动功能、ADL及步行能力。结果康复治疗后,1组:上下肢的运动功能、ADL和步行能力均有显著性提高(P<0.05)。2、3组:除手功能无明显改善外,其余功能显著性提高(P<0.05)。4组运动级别无明显改善,但步行能力和ADL提高(P<0.05)。5组只有ADL改善有差异(P<0.05)。结论正规的康复治疗,有利于脑梗死后不同时期康复的患者。
Objective To investigate the effects of interventional rehabilitation at different periods after cerebral infarction on motor function and ADL. Methods A total of 108 patients with cerebral infarction were retrospectively analyzed. According to the time of rehabilitation intervention, the patients were divided into 5 groups: 1 group ≤ 1 month, 2 groups 1 ~ 3 months, 3 groups 3 ~ 6 months, 4 groups 0.5 ~ 1 year, 5 groups of 1 to 2 years. 1 month before and after treatment to assess limb motor function and hand motor function, ADL and walking ability. Results After rehabilitation, group 1: Motor function of both upper and lower limbs, ADL and walking ability were significantly increased (P <0.05). In group 2 and group 3, except for no significant improvement in hand function, the other functions were significantly improved (P <0.05). No significant improvement was observed in the 4 groups, but their walking ability and ADL increased (P <0.05). Only 5 ADL improvement difference (P <0.05). Conclusions Regular rehabilitation is beneficial to patients recovering from different stages of cerebral infarction.