摘要
389例脑卒中偏瘫住院患者按病程分为3组:组1120例.病程<3个月;组2164例.病程4~12个月;组3105例.病程>1年。3组患者在康复治疗前后均由康复医师采用上田敏偏瘫功能12级法和Barthel指数等方法对患者偏瘫肢体功能进行2~3次记录评测。结果:3组患者康复治疗后在肢体运动功能、手的功能、步行能力以及日常生活活动等方面均有进步;病程<3个月的明显优干4~12个月和>1年的患者(P<0.01).而病程在4~12个月和>1年的2组患者之间差异无显著性(P>0.05)。提示早期康复疗效最好,随着病程时间的延长,康复疗效呈递减趋势,但通过长期反复的康复训练仍可收到好的效果。
389 inpatients with stroke were randomly divided into three groups: 120 cases with the duration less than 3 months (group A ). 164 cases with the duration between 4 to 12 months (group B) and 105 cases with the duration more than one year (group C). Before and after rehabilitation treatment. the hemiplegic 1imb function in the patients were assessed for 2 to 3 times by the method of 12 stages of Ueda Satoshi standardized hemiplegic function and activities of daily living (ADL ) barthel index. The results showed that the hemiplegic extremities' movement,hand function recovery, walking ability and the gain of ADL by barthel index in the group A was obviously irnproved than in the other two groups (P<0. 01 ).
出处
《中国康复》
1999年第4期215-216,共2页
Chinese Journal of Rehabilitation
关键词
脑中风
偏瘫
康复
运动障碍
疗效
strok
hemiplegia
activities of daily living