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目的观察运用药物治疗加现代康复的易化技术对脑血管病急性期偏瘫的治疗作用。方法依达拉奉30mg加入0.9%氯化钠溶液100 ml,静脉注射,每天2次,14 d为1疗程。康复治疗以Botath方法为主,对治疗组急性期脑血管患者进行系统康复训练,偏瘫运动功能采用Fugl-Meyer评定量表评定,日常生活活动能力采用Barthe L指数量表评定。在治疗开始和结束时分别进行评定。结果治疗组与对照组Fugl-Meyer评分,有显著性差异(P<0.01);治疗组与对照组Barthe L指数评分有显著性差异(P<0.01)。结论脑血管病急性期在药物治疗基础上,早期开展康复治疗可以取得较好的治疗效果,降低患者的致残率。
Objective To observe the therapeutic effect of facilitation of drug therapy plus modern rehabilitation on hemiplegia in acute stage of cerebrovascular disease. Methods Edaravone 30mg 0.9% sodium chloride solution was added 100 ml intravenously twice daily for 14 days for a course of treatment. The rehabilitation therapy was mainly based on the Botath method. The patients in the treatment group were given systematic rehabilitation training in the acute stage of cerebrovascular disease. The motor function of hemiplegia was evaluated by Fugl-Meyer Rating Scale. The activity of daily living was assessed by Barthel Index Scale. At the beginning and at the end of treatment were assessed. Results The Fugl-Meyer scores of the treatment group and the control group were significantly different (P <0.01). There was significant difference between the treatment group and the control group (P <0.01). Conclusion In the acute stage of cerebrovascular disease, on the basis of drug therapy, early rehabilitation can achieve better therapeutic effect and reduce the morbidity of patients.