目的：研究早期综合康复治疗对脑卒中患者运动功能和日常生活活动能力（ADL）的影响。方法选择脑卒中患者100例，随机分为康复1组（病程<15d时康复治疗）和康复2组（病程≥15d时康复治疗）各50例，采用综合康复措施，于治疗前、后以运动功能评定量表（FMA）、功能独立性测评量表（FIM）进行运动功能和ADL能力评分。结果两组患者康复治疗1、2、3个月的FMA、FIM评分与康复前比较，均有明显改善（P＜0.01），治疗第1个月变化速率最快；而康复1组较康复2组的改善更明显（P＜0.05）。结论早期综合康复治疗有利于患者运动功能和ADL的改善，而病程＜15d时康复疗效优于≥15d时疗效。%Objective To study the early comprehensive rehabilitation therapy on motor function of stroke patients and activities of daily living (ADL)ef ect. Methods 100 cases of patients with cerebral stroke,randomly divided into rehabilitation group 1 (duration of<15d rehabilitation treatment and rehabilitation group (2)was greater than or equal to 15d rehabilitation treatment)in 50 cases,by comprehensive rehabilitation measures,before and after treatment,the motor function assessment scale (FMA),functional independence measurement scale (FIM)for motor function and ADL score. Results:two patients of rehabilitation treatment for 1 months,2 months and 3 months of FMA,FIM score and rehabilitation of comparison,were significantly improved (P<0.01),treatment of brother 1 months change rate;and the rehabilitation of 1 group than in rehabilitation group 2 improved more obviously (P<0.05). Conclusion early comprehensive rehabilitation treatment is beneficial to improve the function and ADL in patients with exercise duration of<15d rehabilitation curative ef ect is bet er than that of≥15d ef ect.
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