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目的观察早期康复治疗对偏瘫患者神经功能缺损、运动功能及日常生活能力的影响。方法156例急性脑卒中患者随机分为康复组及对照组,康复组在采用常规药物治疗同时,进行早期康复治疗,对照组仅采用常规药物治疗。分别于入院后24h内和出院前24h内评定两组患者的肌力和日常生活能力。结果入院时两组肢体肌力及Barthcl指数差异无统计学意义(P>0.05),出院时康复组肢体肌力及Barthcl指数差明显优于对照组(P<0.05)。结论早期康复治疗能有效改善急性脑卒中偏瘫患者的肢体肌力,提高生活能力,减少神经功能缺损。
Objective To observe the effects of early rehabilitation on neurological impairment, motor function and daily living ability in patients with hemiplegia. Methods A total of 156 acute stroke patients were randomly divided into rehabilitation group and control group. The rehabilitation group was treated with conventional drugs at the same time for early rehabilitation, while the control group was treated with conventional drugs only. The muscle strength and daily living ability of the two groups were assessed within 24 hours after admission and 24h before discharge. Results There was no significant difference between the two groups in physical strength and Barthcl index (P> 0.05). The difference of limb muscle strength and Barthcl index in rehabilitation group was significantly better than that of control group (P <0.05). Conclusion Early rehabilitation can effectively improve the limb muscle strength, improve the living ability and reduce the neurological deficits in acute stroke patients with hemiplegia.