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目的 预测急性脑卒中患者独立步行能力的恢复。方法 采用以神经发育疗法和运动疗法为主的综合康复治疗技术 ,并配合传统的按摩疗法和功能性电刺激 ,以及躯干控制试验、站立平衡检测、功能独立性评定量表中的步行能力检测和巴氏指数的残疾程度评定 ,对急性脑卒中患者进行临床观察和研究。结果 急性脑卒中患者的躯干控制能力、站立平衡功能与独立步行能力的恢复呈高度正相关 (rs 分别为 0 .764和 0 .82 6)。康复组的独立步行能力恢复率为 72 .63 % ,与对照组 ( 14 .94% )相比差异有显著性 (P<0 .0 0 1)。经综合康复治疗 ,中度功能残疾和轻度功能残疾者中有 77.3 6%和 85 .72 %恢复独立步行 ,明显优于重度功能残疾者 ( 2 8.5 7% ) ,P <0 .0 0 1。结论 早期进行康复治疗 ,加强躯干控制能力和站立平衡功能训练 ,可以促进急性脑卒中患者独立步行能力的恢复 ,轻度和中度功能残者的独立步行能力恢复较好。
Objective To predict the recovery of independent walking ability in patients with acute stroke. Methods The comprehensive rehabilitation therapy mainly focused on neurodevelopmental therapy and exercise therapy was used in combination with traditional massage therapy and functional electrical stimulation as well as trunk control test, standing balance test, walkability test in functional independence assessment scale and Pap test index of disability assessment, acute stroke patients clinical observation and research. Results The trunk control ability, standing balance function and recovery of independent walking ability of patients with acute stroke were highly correlated (rs = 0.64 and 0.82 6, respectively). The recovery rate of independent walking ability of rehabilitation group was 72.63%, which was significantly different from that of control group (14.94%) (P <0.01). After comprehensive rehabilitation, 77.3 6% and 85.72% of moderately disabled and mildly functional disabled individuals were able to walk independently, significantly better than those with severe functional disability (8.57%), P <0.01 . Conclusion Early rehabilitation treatment, strengthening of trunk control ability and standing balance function training can promote the recovery of independent walking ability of patients with acute stroke, and mild and moderate functional recovery of independent walking ability is better.