陳佩玲　章亞平　葉國芬

[摘要] 目的 分析早期運動康復(fù)訓(xùn)練對腦卒中肢體功能障礙患者的干預(yù)效果及肢體功能恢復(fù)。 方法 選取2014年7月～2015年7月來我科室診治的腦卒中肢體功能障礙患者84例為研究對象，隨機(jī)分為觀察組42例采用常規(guī)藥物療法輔助早期運動康復(fù)訓(xùn)練治療，對照組42例采用常規(guī)藥物治療，分析患者的肢體運動功能和日常生活活動能力的療效。 結(jié)果 觀察組患者治療后1、2個月的日常生活能力分別為（29.22±5.23）分、（37.34±8.34）分，均明顯高于對照組，差異有統(tǒng)計學(xué)意義（t=2.2518，P=0.0152；t=4.3513，P=0.0024）。通過Brunstrom上下肢運動功能分級，每組患者在治療前后的Ⅰ～Ⅵ級比較，差異有統(tǒng)計學(xué)意義（P<0.05）；兩組患者在治療后的Ⅳ～Ⅵ級比較，差異有統(tǒng)計學(xué)意義（P<0.05）。每組患者治療前后的上下肢主動運動功能分級比較，差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組患者治療后的上肢與下肢主動運動功能分級分別為（5.45±1.32）級、（5.33±1.52）級，明顯優(yōu)于對照組，有明顯統(tǒng)計學(xué)差異（t=4.2416，P=0.0013；t=4.6280，P=0.0021）。每組患者治療前后的Fugl-Meyer評分及Barthel指數(shù)積分比較，差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組患者治療后的Fugl-Meyer評分（49.23±24.34）分與Barthel指數(shù)積分（45.43±18.68）分明顯優(yōu)于對照組，差異有統(tǒng)計學(xué)意義（t=2.3731，P=0.0126；t=3.1452，P=0.0025）。 結(jié)論 采用早期運動康復(fù)訓(xùn)練可以有效增強腦卒中肢體功能障礙患者肢體功能恢復(fù)效果，干預(yù)效果突出，并提高患者日常生活能力。

[關(guān)鍵詞] 早期運動康復(fù)訓(xùn)練；腦卒中；肢體功能障礙；干預(yù)；肢體功能恢復(fù)

[中圖分類號] R743.3 [文獻(xiàn)標(biāo)識碼] B [文章編號] 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.