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目的探讨早期康复治疗对脑卒中患者日常生活能力的影响。方法从本科选择130例没有康复禁忌证的急性脑卒中患者,随机分为两组:治疗组与对照组,其中治疗组65例、对照组65例,对两组进行分析研究,两组均进行常规规范的神经内科治疗。在此基础上治疗组应用Bobath技术进行一个月的早期运动康复锻炼后,对每例患者采用神经功能缺损程度(CSS)评定。改良Barthel指数(MBI)于初期和末期进行评定。结果经过康复治疗后治疗组CCS评分(9.49±7.45)分,对照组(17.7±8.59)分;MBI评分治疗组(79.7±23.5)分,对照组(38.8±24.2)分,经统计学分析P<0.01差异有统计学意义。结论急性脑卒中患者早期只要患者生命体征稳定即可逐步进行康复治疗,有利于脑卒中患者的神经功能恢复,提高肢体功能,提高日常生活活动能力,降低致残率,改善患者生活质量,降低社会及家庭负担。
Objective To investigate the effect of early rehabilitation on the daily living ability of patients with stroke. Methods A total of 130 acute stroke patients without contraindication of rehabilitation were selected randomly from two groups: treatment group and control group, including 65 cases in the treatment group and 65 cases in the control group. The two groups were studied, Conventional normative neurological treatment. On this basis, the patients in the treatment group were assessed for neurological deficit (CSS) after using Bobath technique for one month’s early exercise rehabilitation exercise. The Modified Barthel Index (MBI) is assessed early and late. Results After rehabilitation, the CCS score (9.49 ± 7.45), control group (17.7 ± 8.59), MBI score (79.7 ± 23.5) and control group (38.8 ± 24.2) <0.01 difference was statistically significant. Conclusion Patients with acute stroke can recover gradually as soon as their vital signs stabilize in the early stage of stroke, which is beneficial to the recovery of neurological function, improvement of limb function, improvement of activities of daily living, reduction of morbidity, improvement of quality of life and reduction of social life in stroke patients And family burden.