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目的 :探讨正规、系统的康复治疗对不同时期脑卒中患者日常生活活动能力 (ADL)的影响。方法 :对 114例入院脑卒中患者的康复治疗情况做一回顾分析。将患者分为两组。A组于发病后 2～ 3个月内开始康复治疗 ,B组于发病后 4～ 6个月内开始康复治疗。对所有患者于治疗前及治疗 1个月后ADL能力予以评定。结果 :正规、系统的康复治疗对改善患者ADL能力效果显著 (P <0 0 0 1)。A组在个人卫生动作、进食动作、更衣动作、排泄动作、器具使用、床上运动、移动动作、步行动作等项目上的改善均优于B组 (P <0 0 5)。结论 :正规系统的康复治疗可有效改善ADL能力 ,发病后较早开始康复治疗 ,效果更明显
Objective: To investigate the effect of regular and systematic rehabilitation on daily living activity (ADL) in patients with stroke at different periods. Methods: A retrospective analysis was made on the rehabilitation of 114 stroke patients admitted to hospital. The patients were divided into two groups. Group A started rehabilitation within 2 to 3 months after onset, and group B started rehabilitation within 4 to 6 months after onset. ADL ability was assessed in all patients before treatment and 1 month after treatment. Results: The effect of regular and systematic rehabilitation on ADL ability was significant (P <0.01). Group A improved better than group B in the aspects of personal hygiene, feeding action, dressing action, excretion action, appliance use, bed movement, mobile action and walking action. Conclusion: The regular system of rehabilitation treatment can effectively improve ADL ability, and the rehabilitation treatment started earlier after onset, the effect is more obvious