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目的探讨急性缺血性脑卒中早期康复介入治疗的价值。方法 120例急性脑卒中患者,采用数字表法随机分为观察组及对照组,各60例。对照组患者给予神经内科常规药物治疗,观察组患者在对照组治疗基础上行早期康复介入治疗。观察两组患者的临床疗效。结果介入康复4周后,观察组患者日常生活活动能力量表(ADL)评分为(55.90±9.65)分,显著高于对照组的(44.78±8.78)分(P<0.05);Fugl-Meyer评分为(86.89±7.45)分,明显高于对照组的(75.45±6.38)分(P<0.05);美国国立卫生院卒中量表(NIHSS)评分为(4.09±0.52)分,低于对照组的(5.76±0.63)分(P<0.05)。观察组患者总有效率为96.67%,高于对照组的85.00%,差异具有统计学意义(P<0.05)。结论急性缺血性脑卒中早期康复介入治疗有效地提高ADL及Fugl-Meyer评分,降低NIHSS评分,并提高治疗效果,值得临床应用。
Objective To investigate the value of early rehabilitation intervention in acute ischemic stroke. Methods A total of 120 patients with acute stroke were randomly divided into observation group and control group by digital table method, with 60 cases in each. Patients in the control group were given routine medical treatment of neurology, and patients in the observation group underwent early rehabilitation intervention on the basis of the control group. To observe the clinical efficacy of two groups of patients. Results After 4 weeks of rehabilitation, the ADL score of the observation group was (55.90 ± 9.65) points, significantly higher than that of the control group (44.78 ± 8.78) (P0.05). The Fugl-Meyer score (86.89 ± 7.45), which was significantly higher than that of the control group (75.45 ± 6.38) (P <0.05). The National Institutes of Health Stroke Scale (NIHSS) score was (4.09 ± 0.52) points lower than that of the control group (5.76 ± 0.63) points (P <0.05). The total effective rate in observation group was 96.67%, which was higher than that in control group (85.00%), the difference was statistically significant (P <0.05). Conclusion Early rehabilitation intervention in acute ischemic stroke can effectively improve the ADL and Fugl-Meyer scores, reduce the NIHSS score, and improve the therapeutic effect, which is worthy of clinical application.