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目的探讨老年急性脑卒中偏瘫患者早期康复介入与疗效的关系。方法将老年急性脑卒中偏瘫患者60例随机分为观察组(30例)和对照组(30例),2组均实施常规神经内科药物治疗及常规护理,观察组在此基础上实施早期综合康复干预,8周后观察2组临床有效率、肢体活动功能、日常生活能力评定以及并发症发生情况并进行比较。结果观察组临床有效率显著高于对照组(P<0.05);康复干预后2组Fugl-Meyer评分和Barthel评分均高于干预前,且干预后观察组以上2项评分均显著高于对照组(P均<0.05);观察组并发症发生率显著低于对照组(P<0.05)。结论早期康复介入能够显著提高老年急性脑卒中偏瘫患者的临床疗效,使患者的日常生活能力和肢体活动功能显著提高,且能减少并发症的发生,值得在临床普遍推广。
Objective To explore the relationship between the early rehabilitation intervention and the curative effect of hemiplegia in elderly patients with acute stroke. Methods Sixty elderly patients with hemiplegia after acute stroke were randomly divided into observation group (30 cases) and control group (30 cases). The two groups were treated by routine neurological medicine and routine nursing. The observation group was on the basis of early comprehensive rehabilitation Intervention, 8 weeks after the observation of two groups of clinical efficiency, limb function, ability to assess daily living and complications occurred and compared. Results The clinical effective rate in the observation group was significantly higher than that in the control group (P <0.05). The Fugl-Meyer score and Barthel score in the two groups after rehabilitation intervention were higher than those before the intervention, and the above two scores in the observation group were significantly higher than those in the control group (All P <0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Early rehabilitation intervention can significantly improve the clinical efficacy of elderly acute stroke patients with hemiplegia, so that patients with daily living and physical activity significantly improved, and can reduce the incidence of complications, it is worth widespread in the clinic.