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目的:观察临床药物治疗与早期综合康复治疗对高龄脑血管病偏瘫患者上肢功能恢复情况及ADL能力的影响。方法:对60例偏瘫患者,随机分成观察组和对照组,每组各30例,2组病人均接受临床药物治疗,观察组病人还同时接受必要的康复治疗。如被动上肢活动,局部的肌力训练,多功能神经肌肉治疗仪治疗,按摩,冰疗,日常生活活动能力的训练等。结果:经过3个月临床观察与评估,观察组30例,显效26例,有效3例,有效1例,总有效率96.67%,对照组30例,显效2例,有效23例,无效5例,总有效率83.33%,对2组疗效进行比较,表明观察组明显优于对照组,(P<0.01)。结论:综合康复方法治疗高龄脑血管病偏瘫患者能明显提高患侧上肢功能恢复和ADL能力,降低偏瘫致残率,提高病人的生存与生活质量。
Objective: To observe the clinical drug therapy and early comprehensive rehabilitation of hemiplegia patients with hemiplegia in elderly patients with functional recovery and ADL ability. Methods: Sixty patients with hemiplegia were randomly divided into observation group and control group, with 30 cases in each group. Both groups received clinical drug treatment. Patients in observation group also received the necessary rehabilitation treatment. Such as passive upper limb activity, local strength training, multi-functional therapy of neuromuscular therapy, massage, ice therapy, activities such as daily life training. Results: After 3 months of clinical observation and evaluation, the observation group of 30 cases, markedly effective in 26 cases, effective in 3 cases, effective in 1 case, the total effective rate was 96.67%, the control group of 30 cases, markedly effective in 2 cases, effective in 23 cases, ineffective in 5 cases , With a total effective rate of 83.33%. The comparison between the two groups showed that the observation group was significantly better than the control group (P <0.01). Conclusion: Comprehensive rehabilitation of hemiplegia patients with advanced cerebrovascular disease can significantly improve the ipsilateral upper limb function recovery and ADL ability, reduce the paralysis disability and improve the survival and quality of life of patients.