综合康复干预对急性脑梗死患者功能恢复的影响②.pdfVIP

·临床研究· 综合康复干预对急性脑梗死患者功能恢复的影响② 1a 1b 2 1b 1a 甄君 ，王俊峰 ，范建中 ，韩蓉蓉 ，耿建红 [摘要] 目的 观察综合康复干预对急性脑梗死患者的运动功能、日常生活能力的影响。方法 110例急性脑梗死患者随机分 为康复组与对照组，对照组采用药物治疗，康复组采用综合疗法，包括药物治疗、运动疗法、神经肌肉电刺激等。治疗前及治疗4 周后分别采用简化Fugl-Meyer 评定(FMA)、改良Barthel 指数(MBI)进行评价，根据 “临床神经功能缺损程度评分”评定临床疗效。 结果 所有患者治疗后的FMA 、MBI 评分均较治疗前改善，康复组优于对照组(P0.05) 。康复组治疗有效率为75% ，对照组为 56%(P0.05) 。结论 综合康复干预能促进急性脑梗死患者的肢体运动功能、日常生活活动能力的恢复。 [关键词] 脑梗死；康复；运动功能；日常生活活动能力 Effect of Comprehensive Rehabilitation on Acute Cerebral Infarction ZHEN Jun, WANG Jun-feng, FAN Jian-zhong, et al. Department of Rehabilitation Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai 519000, Guangdong, China Abstract: Objective To observe the effect of comprehensive rehabilitation on the motor function and activity of daily living in patients 作者单位：1. 中山大学附属第五医院，a.康复医学科；b. 神经科，广东珠海市 519000 ；2.南方医科大学南方医院康复医学科，广东广州市 510515 。作者简介：甄君( 1971-) ，女，河北定州市人，硕士，主治医师、讲师，主要研究方向：神经康复。 中国康复理论与实践2011年9月第17卷第9期 ChinJRehabilTheoryPract,Sep.2011,Vol.17,No.9 - 866 - with acute cerebral infarction. Methods 110 patients with acute cerebral infarction were randomly divided into rehabilitation group and con- trol group. The patients in control group were treated with medicine, while the patients in rehabilitation group were treated with comprehen- sive therapy, including medicine, physical therapy and neuromuscular electrical stimulation. They were assessed with the simplified Fugl-Meyer assessment (FMA), modified Barthel index (MBI), and the clinical defect of neurol function before and 4 weeks after treatment. Results The scores of FMA and MBI improved significantly in both groups after treatment, and improved more in rehabilitation group than in control group (P0.05). The effective rate was