早期运动康复训练对脑卒中肢体功能障碍患者的干预效果及肢体功能恢复分析

陈佩玲　章亚平　叶国芬

[摘要] 目的 分析早期運动康复训练对脑卒中肢体功能障碍患者的干预效果及肢体功能恢复。 方法 选取2014年7月～2015年7月来我科室诊治的脑卒中肢体功能障碍患者84例为研究对象，随机分为观察组42例采用常规药物疗法辅助早期运动康复训练治疗，对照组42例采用常规药物治疗，分析患者的肢体运动功能和日常生活活动能力的疗效。 结果 观察组患者治疗后1、2个月的日常生活能力分别为（29.22±5.23）分、（37.34±8.34）分，均明显高于对照组，差异有统计学意义（t=2.2518，P=0.0152；t=4.3513，P=0.0024）。通过Brunstrom上下肢运动功能分级，每组患者在治疗前后的Ⅰ～Ⅵ级比较，差异有统计学意义（P<0.05）；两组患者在治疗后的Ⅳ～Ⅵ级比较，差异有统计学意义（P<0.05）。每组患者治疗前后的上下肢主动运动功能分级比较，差异有统计学意义（P<0.05）；观察组患者治疗后的上肢与下肢主动运动功能分级分别为（5.45±1.32）级、（5.33±1.52）级，明显优于对照组，有明显统计学差异（t=4.2416，P=0.0013；t=4.6280，P=0.0021）。每组患者治疗前后的Fugl-Meyer评分及Barthel指数积分比较，差异有统计学意义（P<0.05）；观察组患者治疗后的Fugl-Meyer评分（49.23±24.34）分与Barthel指数积分（45.43±18.68）分明显优于对照组，差异有统计学意义（t=2.3731，P=0.0126；t=3.1452，P=0.0025）。 结论 采用早期运动康复训练可以有效增强脑卒中肢体功能障碍患者肢体功能恢复效果，干预效果突出，并提高患者日常生活能力。

[关键词] 早期运动康复训练；脑卒中；肢体功能障碍；干预；肢体功能恢复

[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2016）36-0098-04

[Abstract] Objective To analyze the intervention effect of early exercise rehabilitation training on stroke patients with limb dysfunction and the recovery of limb function. Methods A total of 84 cases of stroke patients with limb dysfunction who were diagnosed and treated from July 2014 to July 2015 were randomly divided into observation group（n=42） given early exercise rehabilitation training assisted with conventional drug therapy and control group（n=42） treated with conventional drugs. The effect of the treatment on limb motor function and the ability of daily living activity in patients were analyzed. Results The scores of daily living ability in observation group were（29.22±5.23） points and （37.34±8.34） points respectively， significantly higher than those in the control group， and there was significant difference（t=2.2518， P=0.0152； t=4.3513， P=0.0024）. By comparison of Brunstrom upper and lower limb motor function grading， each group of patients had significant difference in level Ⅰ to Ⅵ before and after treatment. And there was significant difference in level Ⅳ-Ⅵ between the two groups after treatment（P<0.05）. There were significant differences between the upper and lower limb active motor function scores of each group before and after treatment（P<0.05）. The upper and lower limb active motor function scores were respectively（5.45±1.32） and （5.33±1.52） in the observation group after treatment， significantly better than those in the control group， and the difference was significant（t=4.2416， P=0.0013； t=4.6280， P=0.0021）. Fugl-Meyer score and Barthel index score of each group were statistically different before and after treatment， and the difference was significant（P<0.05）； Fugl-Meyer score（49.23±24.34） and Barthel index score （45.43±18.68） in the observation group after the treatment were significantly better than those in the control group， and the difference was statistically significant （t=2.3731， P=0.0126； t=3.1452， P=0.0025）. Conclusion Early exercise rehabilitation training can effectively enhance the limb function of stroke patients with limb dysfunction， with significant intervention effect， and can improve the ability of daily life of patients.