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目的探讨早期康复治疗对脑卒中病人运动功能和日常生活活动能力(ADL)的影响。方法将88例脑卒中偏瘫病人随机分成康复组(43例)和对照组(45例)进行临床对照研究,两组均进行常规神经内科药物治疗,康复组加以康复治疗。每例病人入组时、治疗第30天分别用Fugl-Meyer运动功能量表(FMA)测试运动功能和改良Barthel指数量表(BI)测试ADL。结果康复组及对照组治疗后的BI值和FMA值均比治疗前明显增高(P<0.05或P<0.01),治疗后康复组比对照组的BI值和FMA值明显增高(P<0.05)。结论早期康复治疗对脑卒中偏瘫病人运动功能和ADL具有明显的改善作用,可提高其生活质量。
Objective To investigate the effect of early rehabilitation on motor function and activities of daily living (ADL) in patients with stroke. Methods Eighty-eight stroke patients with hemiplegia were randomly divided into rehabilitation group (43 cases) and control group (45 cases). The two groups were treated by routine neurological medicine and the rehabilitation group was treated by rehabilitation. Each patient was enrolled and ADL was tested on the 30th day of treatment with the Fugl-Meyer Motor Function Scale (FMA) test motor function and the modified Barthel Index Scale (BI). Results After treatment, the BI and FMA values of the rehabilitation group and the control group were significantly higher than those before treatment (P <0.05 or P <0.01). After treatment, the BI and FMA values of the rehabilitation group were significantly higher than those of the control group (P <0.05) . Conclusion Early rehabilitation treatment of stroke patients with hemiplegia motor function and ADL has a significant improvement, can improve their quality of life.