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[目的]探讨早期综合康复联合常规药物治疗对急性脑卒中患者神经功能缺损、运动功能及日常生活活动能力的影响。[方法]156例急性脑卒中患者随机分为康复组及对照组,治疗组在采用常规药物治疗同时,进行早期综合康复治疗,对照组仅采用常规药物治疗。两组患者由同一医师在入院时1~3d进行首轮评定,35d后由该医师进行第2次评定。[结果]治疗后两组的NIHSS、FMA和ADL评分与治疗前相比均有改善,康复组各指标的改善明显优于对照组。[结论]早期综合康复治疗能有效改善急性脑卒中偏瘫患者的运动功能,提高生活能力,减少神经功能缺损。
[Objective] To investigate the effect of early comprehensive rehabilitation combined with routine drug therapy on neurological deficit, motor function and activities of daily living in patients with acute stroke. [Method] One hundred and fifty-five patients with acute stroke were randomly divided into rehabilitation group and control group. The treatment group was treated with routine drug therapy and early comprehensive rehabilitation treatment while the control group only treated with conventional drugs. Two groups of patients by the same physician at admission 1 ~ 3d for the first round of assessment, 35d after the physician for the second assessment. [Results] The scores of NIHSS, FMA and ADL in both groups after treatment were improved compared with that before treatment, and the improvement of each index in rehabilitation group was obviously better than that in control group. [Conclusion] Early comprehensive rehabilitation treatment can effectively improve the motor function, improve the living ability and reduce the neurological deficits in acute stroke patients with hemiplegia.