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目的研究脑卒中偏瘫不同的康复介入时间对患者肢体功能和日常生活活动能力的影响。方法随机抽取脑卒中偏瘫患者300例，分为干预组和对照组，干预组在患者入院病情稳定后的第2 d开始进行康复锻炼，对照组在病情稳定后1 w开始锻炼，两组康复锻炼时间均为1个月，干预前后分别使用简式Fugl-Meyer (Fugl-Meyer As es ment，FMA)和Barthel指数(Modifide Barthel Index,MBI)来评定患者的肢体活动能力和日常生活活动能力。结果干预前后两组的评定结果无统计学差异(>0.05)，干预1个月后，干预组的肢体功能和日常生活活动能力评分均高于对照组，有统计学意义(0.05). 4 weeks later, the Fugl-Meyer and Modified Barthel Index assessment have improved in both groups ( <0.05). Conclusion Early beginning rehabilitation care on stroke patients could significant improve patients' body movements, activities of daily living and quality. It is a feasible intervention for the stroke patient with hemiplegia and can provide reference for the clinical nursing.