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目的探讨早期康复治疗对老年脑卒中患者神经功能、运动功能及日常生活活动能力(ADL)恢复的影响。方法对145例老年脑卒中患者均予以脑血管病一般常规药物治疗的同时进行早期康复治疗,按照早期神经康复流程进行康复训练,1～2次/d,30min/次,于4周时进行神经功能缺损程度测评以及ADL评定。结果 4周时临床神经功能、肢体运动功能、ADL有显著改善,继发损伤及后遗症发生率明显降低。结论早期康复治疗,有利于患者早期获得损伤功能的恢复,起着促进作用。
Objective To investigate the effect of early rehabilitation on neurological function, motor function and daily living activity (ADL) recovery in elderly patients with stroke. Methods One hundred and fifty-five elderly patients with stroke were treated with conventional medical therapy of cerebrovascular disease at the same time for early rehabilitation. According to the process of early neurological rehabilitation, rehabilitation training was performed once or twice a day for 30 minutes at 4 weeks Functional impairment assessment and ADL assessment. Results At 4 weeks, the clinical neurological function, limb motor function and ADL were significantly improved. The incidence of secondary injuries and sequelae were significantly lower. Conclusion Early rehabilitation treatment is beneficial to early recovery of injured patients and plays a promoting role.