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早期强化训练对急性脑卒中患者生活自理能力的影响 |
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张捧玉1 荀凤阁2 周群拉2 张 伟1
摘要 目的： 探讨早期强化训练对急性脑卒中患者生活自理能力的影响。方法：选择急性脑卒中患者65例，随机分为康复组及对照组。用前瞻性研究方法单盲评定， 对两组进行对比分析。康复组在临床药物治疗的同时，1周内进行规定的康复训练，对照组给予临床治疗及未经指导的自我锻炼，分别于第1～6周、3个月、6个月时评定。运动功能用Fugl-Meyer评分，ADL用Barthel指数评分，神经缺损用神经功能缺损程度评分标准评分。结果：运动功能及ADL恢复康复组明显优于对照组(P<0.005)，神经功能缺损减少程度康复组更显著(P<0.001) 。结论：急性脑卒中患者进行早期强化康复训练，能明显改善肢体运动功能及ADL得分，可有效地恢复生活自理能力。
关键词 康复训练；脑卒中；自理能力
Effects of consolidating recovery training on ability of daily life in stroke patients of the early stage/ZHANG Pengyu, XUN Fengge, ZHOU Qunla, et al//Chinese Journal of Rehabilitation Medicine,1998,13(6):251～253
Abstract Objective:To study effects of consolidating recovery training on ability of daily life in stroke patients of the early stage.Method:Sixty-five patients with acute cerebral apoplexy (ACA) , being randomdivided into recovery and control groups, were evaluated with prospective monoblindmethod in this study. Patients in the recovery group were given clinical treatment and regularly recovery training, while those in control group were given clinical treatment and unguided self-training, and the evaluation was done in the first to the sixth week,the third and the sixth month respectively.Moter function was assessed in Fugl-Meyer,and ADL assessed in Barthel Index.While neruodefect was assessed in its defect degree.Result:Moter function and ADL recovery in recovery group were obviously superior to those in the control group(P<0.005) ,while the reducing neruodefect degree in recovery group was more obviously than that one in control group(P<0.001) .Conclusion:Early stage consolidating recovery training of the patients with ACA may obviously improve moter function of the limbs and raise ADL score,and the ability to self-management may get recovery efficiently.
Author′s address The Third Hospital,Xingtai,Hebei Province,054000
Key words Recovery training;Cerebral apoplexy;Ability to self-management
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