急性缺血性脑卒中早期康复介入治疗临床剖析.docVIP

急性缺血性脑卒中早期康复介入治疗临床剖析 　　【摘要】 目的 探讨急性缺血性脑卒中早期康复介入治疗的价值。方法 120例急性脑卒中患者， 采用数字表法随机分为观察组及对照组， 各60例。对照组患者给予神经内科常规药物治疗， 观察组患者在对照组治疗基础上行早期康复介入治疗 。观察两组患者的临床疗效。结果 介入康复4周后， 观察组患者日常生活活动能力量表（ADL）评分为（55.90±9.65）分， 显著高于对照组的（44.78±8.78）分（P0.05）；Fugl-Meyer评分为（86.89±7.45）分， 明显高于对照组的（75.45±6.38）分（P0.05）；美国国立卫生院卒中量表（NIHSS）评分为（4.09±0.52）分， 低于对照组的（5.76±0.63）分（P0.05）。观察组患者总有效率为96.67%， 高于对照组的85.00%， 差异具有统计学意义（P0.05）。结论 急性缺血性脑卒中早期康复介入治疗有效地提高ADL及Fugl-Meyer评分， 降低NIHSS评分， 并提高治疗效果， 值得临床应用。 　　【关键词】 急性缺血性脑卒中；早期；康复介入 　　DOI：10.14163/j.cnki.11-5547/r.2016.34.085 　　Clinical analysis of early rehabilitative intervention treatment for acute ischemic stroke HUANG Bin. Department of Rehabilitation Medicine， Jiangsu Province Branch Institute of Affiliated Hospital of Nantong University， Nantong 226001， China 　　【Abstract】 Objective To investigate value by early rehabilitative intervention treatment for acute ischemic stroke. Methods A total of 120 patients with acute stroke were divided by random number table into observation group and control group， with 60 cases in each group. The control group received conventional neurology drug therapy， and the observation group also received additional early rehabilitative intervention treatment. Clinical effects were observed in both groups. Results After 4 weeks of rehabilitative intervention， the observation group had obviously higher activities of daily living （ADL） score as （55.90±9.65） points than （44.78±8.78） points in the control group （P0.05）. The observation group had much higher Fugl-Meyer score as （86.89±7.45） points than （75.45±6.38） points in the control group （P0.05）. The observation group also had lower national institutes of health stroke scale （NIHSS） score as （4.09±0.52） points than （5.76±0.63） points in the control group （P0.05）. The observation group had total effective rate as 96.67%， which was higher than 85.00% in the control group， and the difference had statistical significance （P0.05）. Conclusion Early rehabilitative intervention treat