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目的:观察康复治疗早期干预对脑血管疾病患者日常生活活动能力(ADL)的影响。方法:64例脑血管病急性期患者随机分为康复组和对照组各32例。康复组在常规神经科药物治疗的同时给予早期康复治疗,主要采用Bobath方法,由治疗师对患者实施“一对一”的康复训练,每次40分钟,每天1次。对照组接受神经科常规药物治疗同时并辅以传统的按摩治疗。2组患者治疗30天后采用Barthel指数评定。结果:2组患者治疗后Barthel指数有一定改善,康复组评分明显优于对照组(P<0.01)。结论:脑血管病急性期患者早期康复治疗能明显提高患者ADL能力。
Objective: To observe the effect of early rehabilitation intervention on daily living activity (ADL) in patients with cerebrovascular disease. Methods: Sixty-four patients with acute cerebrovascular disease were randomly divided into rehabilitation group (32 cases) and control group (32 cases). The rehabilitation group was given early rehabilitation treatment in addition to routine neurological medication, mainly using the Bobath method. Patients were given “one-on-one” rehabilitation training by the therapist for 40 minutes and once daily. The control group received routine medical treatment of neurology at the same time supplemented by traditional massage therapy. The Barthel index was used for evaluation in both groups after 30 days of treatment. Results: The Barthel index of the two groups was improved after treatment, and the score of rehabilitation group was significantly better than that of the control group (P <0.01). Conclusion: Early rehabilitation of patients with acute cerebrovascular disease can significantly improve ADL ability.