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目的探讨早期神经康复对急性脑卒中患者重要性、有效性,以及康复介入时机与疗效的关系。方法选择急性脑卒中患者90例,随机分为常规药物组(A组)、早期康复功能训练组(B组):即病后7 d之内开始康复、延期康复功能训练组(C组):即病后7～30 d开始康复。除A组外对其余两组按康复程序进行康复训练,经1个月后对ADL及BI指数进行康复评定。结果早期康复训练B组经1个月后ADL及BI指数明显高于其他两组(P<0.05)。结论早期康复训练能有效地提高患者ADL能力及BI指数。
Objective To explore the importance and effectiveness of early neurological rehabilitation in patients with acute stroke and the relationship between the timing of rehabilitation intervention and the curative effect. Methods Ninety patients with acute stroke were randomly divided into two groups: control group (group A) and early rehabilitation training group (group B): rehabilitation was started within 7 days after illness, and group C (delayed rehabilitation training) 7 to 30 days after illness began to recover. Except Group A, the other two groups were rehabilitated according to the rehabilitation program. After 1 month, ADL and BI index were assessed for rehabilitation. Results After one month, the ADL and BI index in early rehabilitation training group B were significantly higher than those in the other two groups (P <0.05). Conclusion Early rehabilitation training can effectively improve ADL ability and BI index.