配合超早期康复治疗对急性脑卒中疗效分析.docVIP

配合超早期康复治疗对急性脑卒中疗效分析 　　摘要: 目的:探讨配合超早期康复治疗对急性脑卒中患者神经功能缺损及日常生活能力恢复 的影响。方法:将198例急性脑卒中患者随机分为康复组和对照组,采用共同入选条件。两 组药物治疗基本相同,康复组配合超早期康复治疗,康复采用神经发育疗法。分别采用神经 功能缺损评分(CNS),日常生活能力采用巴氏指数(Barthel)来评定疗效。结果:经治疗 半个月左右,康复组患者神经功能缺损程度明显减少,日常生活能力明显提高,与对照组比 较有非常显著性差异(P0.01)。结论:急性脑卒中患者配合超早期康复治疗,能明显改 善患者神经功能缺损,提高肢体运动功能,改善日常生活能力。 　　关键词:脑卒中;超早期康复治疗; 神经发育疗法 　　中图分类号: R743.3 文献标识码: A 文章编号: 1008-2409(2009)05-0838-03 　　 　　Clinical study on the effects of ultra-early rehabilitation therapy on patients withacutestrokes/LUO Jian-ning, YAN Bo-qiang∥TCMHospital of Guilin City, Guilin 541002, China 　　Abstract:Objective: To evaluated the effect of ultra-early rehabilitation thera py on neural functional deficits and activities of daily living (ADL) in patie nts with acute strokes. Methods:Patients with acute stroke were randomly dividedinto the early rehabilitation group and the control group. The patients in therehabilitation group were subjected to ultra-early rehabilitation training inaddition to medical treatment, while those in the control group only to medicaltreatment. The patients in the rehabilitation group was carried out neurodevelopmental trea tment(NDT).The scores of neural functional deficit(CNS) was evaluated before a nd after treatment.ADL was assessed with Modified Barthel Index (MBI).Results: The degree of neural functional deficits was reduced and the ability ofADL was obviously improved as compared with those before half a monthtreatmen t.The scores of CNS and MBI after one month treatment were significantly higherthan those of control group?(P0.01)?. Conclusion: Ultra-early rehabilita tion thera py have more effectiveness on reduction of neural functional deficits, improvin g the recovery of motor function and the daily life abilities. 　　Key words: acute stroke;ultra-early rehabilitation therapy;neur odevelopmental treatment 　　 　　近代对急性脑血管意外的治疗,取得了可喜的进步,脑卒中所致的死亡率有所下降,但脑卒 中的致残率较高。近20多年来我国康复医学的发展,降低了急性脑卒中的致残率,提高了患 者的生活质量。配合超早期康复治疗的主要内容是神经发育疗法。本研究观察配合超早期康 复治疗,对急性脑卒中患者神经功能缺损及日常生活