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早期康复对重症卒中患者认知和运动障碍的影响
吴波段风梅逯莞婷党辉朱沂李红燕
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摘要:
目的 探讨早期康复在重症卒中治疗中的疗效和价值。方法 选择134 例重症脑卒中患 者,进行早期康复治疗干预,包括认知功能训练、运动功能训练和日常生活活动能力训练。于治疗前24 h 及治疗4 周后分别采用简易精神状态检查量表(MMSE)、FugI-Meyer 运动功能评分(FMA)和Barthel 指数 (BI)进行评定。结果 对比患者早期康复治疗前后结果,MMSE[(19.16±8.86)分比( 22.33±7.36)分]、 FMA[(34.08±22.21)分比( 53.96±24.79)分]、BI[ (35.38±19.83)分比( 61.78±18.88)分]评分均较干预 前提高,差异均有统计学意义(P< 0.05)。结论 早期康复可以显著减少卒中后认知和运动功能障碍的 发生,减少致残率,提高患者的生存质量。
关键词:  卒中  早期康复  认知功能  运动功能
DOI:10.3969/j.issn.1009-6574.2018.06.007
基金项目:国家“十二五”科技支撑课题(2011BAI08B11)
Effect of early rehabilitation on the cognitive and motor disorders in severe stroke patients
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Abstract:
Objective To identify efficacy and value of early rehabilitation in the treatment of severe stroke. Methods A total of 134 cases of severe stroke patients were recruited for early rehabilitation, including cognitive function training, motor function training and daily life activity training. The Mini-Mental State Examination (MMSE), the FugI-Meyer Assessment( FMA) and the Barthel Index( BI) were applied 24 hours before treatment and 4 weeks after treatment. Results Comparing the results before and after the patients' early rehabilitation, MMSE[ (19.16±8.86) vs( 22.33±7.36)], FAM[ (34.08±22.21) vs( 53.96±24.79)], BI[ (35.38±19.83) vs (61.78±18.88)]. The scores were significantly increased after treatment, and the differences were statistically significant( P < 0.05). Conclusions Early rehabilitation plays a significant role in reducing post-stroke cognition and motor dysfunction, and can reduce the disability rate and improve patients' quality of life.
Key words:  Stroke  Early rehabilitation  Cognitive function  Motor function

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