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以往研究认为卒中6个月内功能恢复已达最大限度,此后的恢复不明显。这些研究因其局限性而不能提供长期康复后病残情况的进程。作者研究发病6个月后功能状态恢复情况。并就年龄和神经受损程度的影响及其相互关系进行了探讨。 根据选择标准取50例(男31,女19,年龄47～86岁,平均66.±9.9岁),其中左侧偏瘫27例,右侧偏瘫23例,失语17例。于出院2周后做基础评价,3及6个月随访2次,其中4例失访。按年龄分为<65岁与≥65岁2组。神经受损评价采作FuglMeyer(F—M)量表,认知功能用明尼苏达精神量表(MMSE)测定,日常生活活动用Barthel指数,持工具日常活动(IADLs)用Lawton—Brody量表。失语检查用Boston法。
Past studies suggest that functional recovery within 6 months of stroke has reached its maximum, and thereafter the recovery is not obvious. Because of their limitations, these studies do not provide the long-term rehabilitation of the disabled. The authors studied the functional status recovery after 6 months of onset. The effects of age and nerve damage and their relationship were also discussed. According to the selection criteria, 50 cases (male 31, female 19, age 47-86 years, mean 66. ± 9.9 years), including 27 cases of left hemiplegia, 23 cases of right hemiplegia and 17 cases of aphasia. After 2 weeks of discharge, basic evaluation was made, followed up 2 times at 3 and 6 months, of which 4 were lost. By age group <65 years old and ≥ 65 years old 2 groups. The neurological impairment was assessed using the FuglMeyer (F-M) scale. The cognitive function was measured using the Minnesota Spirit Scale (MMSE), the Barthel Index for daily living activities, and the Lawton-Brody scale for IADLs. Aphasia examination using the Boston method.