文章摘要
周述娜,王蕾,仇莹莹,梁丽萍,李景云.早期康复对脑梗死患者运动功能和日常生活活动能力的影响[J].中国临床保健杂志,2019,22(6):759-762.
早期康复对脑梗死患者运动功能和日常生活活动能力的影响
Evaluation of the effect of early rehabilitation on improving Fugl-Meyer and ADL scores in patients with cerebral infarction
投稿时间:2019-09-16  
DOI:10.3969/J.issn.1672-6790.2019.06.010
中文关键词: 脑梗死  康复  神经康复  日常生活活动  治疗结果
英文关键词: Brain infarction  Rehabilitation  Neurological rehabilitation  Activities of daily living  Treatment outcome 〖FL
基金项目:首都卫生发展科研专项项目(首发2018-4-7011)
作者单位E-mail
周述娜 北京市第一康复医院康复科,100044 duroton@126.com 
王蕾 北京市第一康复医院康复科,100044  
仇莹莹 北京市第一康复医院康复科,100044  
梁丽萍 北京市第一康复医院康复科,100044  
李景云 北京市第一康复医院康复科,100044  
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中文摘要:
      目的 评价早期康复治疗改善脑梗死患者Fugl-Meyer和ADL评分的效果。方法 选取82例脑梗死患者按照不同疗法将其纳入A组(41例)与B组(41例)。A组给予常规药物治疗,B组予以常规药物治疗联合早期康复治疗,对比两组的神经功能(NIHSS评分)、运动功能(Fugl-Meyer评分)、日常生活活动能力(ADL评分)以及总体疗效。结果 两组治疗后的NIHSS评分均低于本组治疗前,且B组低于A组,P<0.05;两组治疗后的Fugl-Meyer评分与ADL评分均高于本组治疗前,且B组均高于A组,P<0.05;B组的总有效率(92.7%)高于A组(75.6%),P<0.05。结论 早期康复治疗脑梗死的效果满意,可明显改善患者的神经功能、运动功能以及日常生活活动能力。
英文摘要:
      Objective To evaluate the effect of early rehabilitation on improving Fugl-Meyer and ADL scores in patients with cerebral infarction.Methods 82 patients with cerebral infarction were enrolled in group A (41 cases) and group B (41 cases) according to different therapies.Patients in group A was given routine drug treatment and group B was given routine drug treatment combined with early rehabilitation.The neurological function (NIHSS score),motor function (Fugl-Meyer score),activities of daily living (ADL score) and the overall efficacy of two groups were compared.Results The NIHSS scores of both groups after treatment were lower than those of the group before treatment,and the score of group B was lower than that of group A (P<0.05);the Fugl-Meyer scores and ADL scores of both groups after treatment were higher than those before treatment,and scores of group B were higher than those of group A (P<0.05);the total effective rate of group B (92.7%) was higher than that of group A (75.6%) (P<0.05).Conclusion Early rehabilitation treatment of cerebral infarction has a satisfactory effect,which can improve significantly the patients′ neurological function,motor function and activities of daily life.
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