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目的探讨规范三级康复治疗对于脑卒中患者肢体运动功能的影响。方法将82例脑卒中患者随机分为康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但神经内科常规治疗同康复组。分别于入选时、病后1个月末、3个月末和6个月末采用简化Fugl-Meyer运动功能评分法对患者肢体运动功能进行评测。结果康复组治疗后各阶段的肢体运动功能评分均明显高于对照组(P<0.05),差异有统计学意义。康复组入组时以及病后1个月、3个月和6个月时肢体运动功能分别相当于正常人的26.10%、42.52%、65.62%和83.71%,而对照组分别为:18.51%、24.85%、37.24%和45.84%。结论规范三级康复治疗对于脑卒中患者各阶段肢体运动功能的改善具有明显的促进作用。
Objective To investigate the effect of standard three-level rehabilitation on limb motor function in patients with stroke. Methods 82 stroke patients were randomly divided into rehabilitation group and control group. The rehabilitation group was given standard tertiary rehabilitation treatment. The control group was not given standard tertiary rehabilitation treatment, but the routine treatment of neurology was the same as rehabilitation group. The motor function of the limbs was assessed by the simplified Fugl-Meyer motor function score at the end of 1 month, 3 months and 6 months after illness. Results The scores of limb motor function in rehabilitation group after treatment were significantly higher than those in control group (P <0.05), the difference was statistically significant. The motor function of rehabilitation group was 26.10%, 42.52%, 65.62% and 83.71% respectively at the time of 1 month, 3 months and 6 months after illness, while the control group was 18.51% 24.85%, 37.24% and 45.84% respectively. Conclusion Standard three-level rehabilitation therapy can significantly improve limb motor function in all stages of stroke patients.