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康复治疗时机对脑卒中患者预后的影响

王丽萍

河北医学Issue(11):1798-1800,1801,4.
河北医学Issue(11):1798-1800,1801,4.DOI:10.3969/j.issn.1006-6233.2014.11.012

康复治疗时机对脑卒中患者预后的影响

Effect of Rehabilitation Timing on the Prognosis of Patients with Cerebral Apoplexy

王丽萍1

作者信息

  • 1. 中国人民解放军第251医院,河北 张家口 075000
  • 折叠

摘要

Abstract

To investigate the effect of rehabilitation intervention timing on the prognosis of patients with cerebral apoplexy .Method:A total of 90 patients with cerebral apoplexy admitted in our hospi-tal from Jan.2012 to Jan.2013 were randomly divided into observation group and control group , two groups of patients were provided with routine treatment of stroke , including relieving cerebral edema , protecting treatment such as brain tissue , improving blood circulation , adopting rehabilitation treatment voluntarily , and following the instructions of rehabilitation physicians .the vital signs were stable and consciousness recovered , while the control group adopted rehabilitation training 4 weeks conventional after toutine treatment .The abili-ty of daily life ( ADL) , motor function score and neurologic deficits were evaluated respectively with modified barthel index (MBI), Fugl-Meyer analysis(FMA)and NIH stroke scale (NIHSS) before and after treat-ment.Result:Before rehabilitation treatment , there was no statistical difference of MBI , FMA, NIHSS be-tween two groups ( P>0.05);the above-mentioned indexes were improved significantly after treatment in two groups, comparison difference before and after treatment was statistically significant ( P<0.05);MBI, FMA and NIHSS improved more significantly in observation group after treatment than that in the control ( P<0.05);shoulder-hand syndrome in observation group was better relived compared with control group after re -habilitation ( P<0.05) .Conclusion:Early treatment can promote the recovery of nerve function , motor func-tion and ADL ability , alleviate symptoms of shoulder-hand syndrome , play a positive role in the prognosis of patients with cerebral apoplexy .

关键词

早期康复/脑卒中/预后

Key words

Early rehabilitation/Stroke/Prognosis

引用本文复制引用

王丽萍..康复治疗时机对脑卒中患者预后的影响[J].河北医学,2014,(11):1798-1800,1801,4.

基金项目

河北省张家口市科技计划项目, ()

河北医学

OACSTPCD

1006-6233

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