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目的:探索规范的三级康复治疗对于脑卒中偏瘫患者运动功能的影响。方法:82例脑卒中患者在脑梗死和脑出血两个层次上随机分成康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但是一般的常规内科治疗同康复组。结果:对照组2例死亡,康复组无死亡病例。康复组在各阶段的运动功能评分明显高于对照组(P<0.01),康复组各阶段运动功能评分积分差值明显高于对照组(P<0.01);入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于正常人的32.29%、51.41%、75.00%和87.31%,而对照组分别为:27.62%、34.42%、48.51%和56.13%,入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于对照组的116.95%、149.35%、154.60%和155.55%;1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值相当于对照组的指数分别是:2.81、2.10和1.97,1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值分别高于对照组:9.95、17.47和21.12分。结论:规范三级康复治疗对于脑卒中患者各阶段运动功能的提高具有明显的促进作用。
Objective: To explore the impact of standard three-level rehabilitation on motor function in stroke patients with hemiplegia. Methods: 82 stroke patients were randomly divided into rehabilitation group and control group on both cerebral infarction and intracerebral hemorrhage. The rehabilitation group received standard three-level rehabilitation and the control group did not receive the standard tertiary rehabilitation. However, Medical treatment and rehabilitation group. Results: Two patients died in the control group and no deaths occurred in the rehabilitation group. The score of motor function in rehabilitation group was significantly higher than that in control group at each stage (P <0.01), and the score of motor function score at each stage was significantly higher in rehabilitation group than that in control group (P <0.01) The motor function of the rehabilitation group was respectively 32.29%, 51.41%, 75.00% and 87.31% of the normal group at the end of the month and the end of the 6 months, while the control group were 27.62%, 34.42%, 48.51% and 56.13% At the end of 1 month, 3 months and 6 months, the motor function of the rehabilitation group was 116.95%, 149.35%, 154.60% and 155.55% of the control group respectively. The differences between the end points of the months and those of the rehabilitation group at the time of enrollment and at the end of the 6 months were equal to those of the control group at 2.81, 2.10 and 1.97, respectively, at the end of one month and at the end of the three months The difference of scores of motor function at the time of enrollment and the end of 6 months and the rehabilitation group at the time of enrollment were respectively higher than that of the control group: 9.95, 17.47 and 21.12 points. Conclusion: Standard three-level rehabilitation treatment for stroke patients at all stages of motor function improved obviously.