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脑卒中急性期的治疗与康复是全面康复的关键。我们对30例脑出血及50例脑梗塞急性期住院病人进行了常规治疗及早期康复训练,同时对有知觉障碍、语言障碍的病人进行特殊训练。在训练中运用运动疗法和作业疗法,并对不同时期的心理障碍进行心理治疗。经平均33天住院治疗和训练,患者肌力提高2级以上,87.5%的病例达到Barthel日常活动能力指数60分以上,ADL功能恢复61分以上,生活基本自理。因此,对脑血管病急性期应及早进行康复训练并应以“全面康复”的思想为指导。
The treatment and rehabilitation of acute stroke is the key to full recovery. We conducted routine treatment and early rehabilitation training on 30 patients with cerebral hemorrhage and 50 acute cerebral infarction patients. We also performed special training on patients with cognitive disorders and language problems. The use of exercise therapy and occupational therapy in training, and mental disorders at different stages of psychological treatment. After an average of 33 days of inpatient treatment and training, the patient’s muscle strength increased by more than 2 levels, and 87.5% of cases achieved a Barthel daily activity index of 60 or more. The ADL function recovered by 61 points or more, and life was basically self-care. Therefore, the acute phase of cerebrovascular disease should be early rehabilitation training and should be “comprehensive rehabilitation” as a guide.