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目的探讨早期综合康复治疗对脑梗死患者功能恢复的影响。方法将62例急性脑梗死患者随机分为综合康复组及对照组。综合康复组患者采用综合措施(包括药物治疗、Bobath疗法、PNF疗法、双乳突法低频电刺激及电动床站立训练等)治疗,对照组则采用药物、Bobath及PNF疗法进行干预。于治疗前及治疗30 d后分别评价2组患者神经功能缺损程度、平衡功能、运动功能及ADL能力。结果2组患者经治疗后其神经功能缺损积分均明显减少,平衡功能、运动功能、ADL能力积分均明显增加,差异均具有统计学意义(P<0.05);并且综合康复组患者上述各项指标的改善幅度均明显优于对照组,组间差异亦有统计学意义(P<0.05)。结论早期综合康复治疗对脑梗死患者疗效具有显著促进作用。
Objective To investigate the effect of early comprehensive rehabilitation on functional recovery in patients with cerebral infarction. Methods Sixty-two patients with acute cerebral infarction were randomly divided into general rehabilitation group and control group. The patients in the comprehensive rehabilitation group were treated with comprehensive measures (including drug therapy, Bobath therapy, PNF therapy, low-frequency electrical stimulation of the dura mastoid process and electric bed stand training). The control group was treated with drugs, Bobath and PNF therapy. The levels of neurological deficit, balance function, motor function and ADL ability were evaluated before treatment and 30 days after treatment respectively. Results After treatment, the scores of neurological deficit in both groups were significantly decreased, and the balance function, motor function and ADL score were significantly increased (all P <0.05); and the above indexes The improvement rate was significantly better than the control group, the difference between groups was also statistically significant (P <0.05). Conclusion Early comprehensive rehabilitation therapy has significant effect on the curative effect of patients with cerebral infarction.