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现代综合促进技术治疗急性脑卒中 |
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朱建国 袁栋才 潘殿卿 张菊香 王红燕 魏 琰 张俊岭 孟祥生
摘要 对120例急性期脑卒中患者随机分为康复组及常规组各60例。康复组按临床神经功能缺损程度积分分为轻、中、重3型。康复组及常规组均给以常规药物治疗，康复组同时配合以促进技术为主的综合运动疗法进行早期康复干预。采用FIM躯体功能评分及Fugl-Meyer积分评估运动功能，结果显示：康复组患者两项指标均有显著改善，与常规组比较，差异明显P＜0.01，康复组中轻、中型预后好，轻型患者康复干预影响因素较少些，自然恢复比重大，中、重型之间疗效差异显著，中型患者康复效果最高，另外脑出血恢复优于脑梗塞。
关键词 脑卒中； 促进技术； FIM； Fugl-Meyer评分
Up-date Comprehensive Promoting－canalization Technique to Treat Acute Cerebral Stroke
Zhu Jianguo, Yuan Dongcai, Pan Dianqing, et al
Department of Neurology, Harison International Peace Hospital, Hengsui 053000
Abstract 120 cases of acute cerebral stroke were randomly divided into rehabilitation group (n=60) and routinely treated group (n=60). The former was divided into three subgroups (moderate, middle, severe) based on the clinically neurological function injury. The patients in both groups received the routine medical treatment. In addition, the patients in rehabilitation group were given the comprehensive motor therapy, especially promoting-canalization technique. Assessment was performed by using FIM body function score and Fugl-Meyer motor function score. The results showed that the parameters above in the rehabilitation group were significantly improved as compared with those in routinely treated group (P＜0.01). The patients in the moderate and middle subgroups had a better prognosis. The natural recovery rate in the moderate patients was higher due to the less factors affecting rehabilitation. The difference in therapeutic effects between middle and severe subgroups was significant. The rehabilitation results in middle subgroup were best. The recovery of the patients with cerebral hemorrhage was superior to that of cerebral infarction.
Key words cerebral stroke; promoting-canalization technique; FIM; Fugl-Meyer score
随着人民生活水平不断提高，脑卒中发病率逐年上升， 现代医学的发展使脑卒中的诊断与抢救水平明显提高，但致残率也很高，约80%的存活患者留有不同程度的功能障碍，给患者、家庭和社会带来了沉重的负担。人们需要的已不仅仅是挽救生命，而是回归社会。目前脑卒中的治疗尚无重大[1] [2] [3] 下一页
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