急性脑卒中患者早期康复治疗.pdfVIP

·91· ；!堂堑董堡主旦壁曼匡兰堂查堑过垒墅史垦鏖基受塞生查兰垄至童 ·脑卒中康复· 急性脑卒中患者的早期康复治疗 李琨孙瑞红董莉芹胡艳荣 (哈尔演医科大学附属第～临床医学院神经内科。黑龙江哈尔滨市150086) [摘要]目的探讨急性脑卒中早期康复治疗的意义，治疗方{击及其对预后的影响．方法将30例均为首次发病、病程为1周 以内、无失语和认知障碍的急性脑卒中患者随机分成早期康复组和对照组，每组15例．两组的药物治疗相同·早期康复组经过专 业的PT、OT师给予系统的康复训练．结果在治疗的3个月中．分别在治疗前和治疗后进行评定．发现在脑卒中后遭症中最常见 的足下垂在康复治疗组中发生辜为40％，在对照组中发生率为73％．两者比较，康复治疗组中足下垂的发生率明显低于对照组· 结论早期进行康复治疗町以有效地预防二次性损伤和废用综合征．促进功能恢复，对患者预后有良好影响·使其最大限度地回归 家庭与社会。 [关键词]脑卒中；早期康复；预后 rehabilitationollacutestroke Harbin Early Medical University·Harbin。China 30 theeffectsof rehabilitationotlthe of afteracutestroke．Methodspa- Tostudy errly prognosispatients [Abstract]Ohjectlve hadnot tientswhose from3trokeOnSetwaswithinaweekandwhoallaufferedfromacutestrokeforthefirsttime．andwho length and were dividedinto rehabilitationandcontrol consistedof15 of randomly early groups．eachgroup aphasiadysfunctioncognition rehabilitationwastreatedwith ofthemreceivedclinicaltreatment．furthermore，early systematic patients．All group theevaloationwasmadebeforeandafter techniciansofPTandOT．ResultsIn3 monthstreatment trainingbyprofessional during the ofacutestroke· thetreatment．Wefoundthattheincidenceoffoot isthemostcoMmoB amongsequelae drop．which phenom