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目的观察卒中单元综合治疗对脑卒中患者运动功能康复的影响。方法在卒中单元中选取290例脑卒中患者,分为早期康复组(A组,184例)和一般治疗组(B组,106例),在武汉市东西湖区医院神经内科普通病房随机选取62例脑卒中患者为普通对照组(C组)。治疗前以及治疗1个月后采用Barthel指数法和Fugl-Meyer法对3组患者的日常生活活动(ADL)能力和运动功能进行评定。结果治疗前,3组的Barthel和Fugl-Meyer积分相近,差异均无统计学意义(P>0.05);治疗1个月后,A组和B组的评分均显著高于C组(P<0.01),且A组的评分明显高于B组(P<0.01)。结论卒中单元综合治疗能有效提高脑卒中患者的运动功能和ADL能力。
Objective To observe the effect of stroke unit comprehensive rehabilitation on motor rehabilitation in patients with stroke. Methods Totally 290 stroke patients were divided into two groups: early rehabilitation group (group A, n = 184) and general treatment group (group B, n = 106). Sixty-two patients were selected randomly from general ward of neurology department in Dongxihu Hospital of Wuhan. Stroke patients as a normal control group (C group). Before treatment and one month after treatment, Barthel index and Fugl-Meyer method were used to evaluate ADL and motor function in three groups. Results Before treatment, Barthel and Fugl-Meyer scores were similar in all three groups (P> 0.05). After 1 month of treatment, the score of group A and B were significantly higher than that of group C (P <0.01) ), And the score of group A was significantly higher than that of group B (P <0.01). Conclusion Stroke unit comprehensive treatment can effectively improve the motor function and ADL ability of stroke patients.