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目的探讨青年脑卒中患者早期康复治疗对肢体功能恢复和日常生活活动能力的影响。方法选取青年脑卒中患者121例,分为观察组60例,对照组61例。两组患者均给予常规临床治疗,观察组患者在生命体征平稳后,予以早期综合康复治疗。采用Fugl-Meyer运动功能评分法(FMA)评定运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果康复治疗4周后,观察组患者FMA评分高于对照组[(86.32±3.21)分vs.(23.32±4.21)分](P<0.05);观察组患者MBI评分高于对照组[(68.71±2.52)分vs.(38.23±6.82)分](P<0.05)。结论早期实施规范化康复训练能明显改善青年脑卒中患者肢体运动功能和日常生活活动能力,提高患者生活质量。
Objective To investigate the effects of early rehabilitation on stroke recovery and activities of daily living in young stroke patients. Methods A total of 121 young stroke patients were selected and divided into observation group (60 cases) and control group (61 cases). Two groups of patients were given routine clinical treatment, observation group of patients with stable vital signs, to be comprehensive early rehabilitation. The motor function was evaluated by Fugl-Meyer motor function score (FMA), and Barthel index (MBI) was used to assess the activities of daily living. Results After 4 weeks of rehabilitation, the score of FMA in the observation group was higher than that in the control group [(86.32 ± 3.21) vs. (23.32 ± 4.21) points] (P <0.05); MBI score in the observation group was higher than that in the control group [(68.71 ± 2.52) vs (38.23 ± 6.82) points (P <0.05). Conclusion Early implementation of standardized rehabilitation training can significantly improve limb motor function and activities of daily living in stroke patients and improve their quality of life.