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目的:观察早期运动疗法对急性脑卒中偏瘫患者日常生活活动能力的影响。方法:急性脑卒中偏瘫患者共58例,随机分为运动组和对照组,运动组29例,在给予神经内科常规药物加针灸治疗的基础上。于入院一周内加入运动治疗;对照组29例,单纯给予神经内科常规药物加针灸治疗,对两组的疗效进行比较。结果:运动组的疗效明显优于对照组,WMFT、FMA、Barthel指数有显著性差异(P<0.01)。结论:早期运动治疗可以明显改善急性脑卒中偏瘫患者的ADL,提高肢体运动能力,降低致残率,提高其生活质量。
Objective: To observe the effect of early exercise therapy on activities of daily living in hemiplegia patients with acute stroke. Methods: A total of 58 acute stroke patients with hemiplegia were randomly divided into exercise group and control group. Exercise group (n = 29) was given conventional neurology medicine plus acupuncture treatment. One week after admission, the patients were treated with exercise therapy. In the control group, 29 cases were treated by conventional neurology and acupuncture alone. The curative effects of the two groups were compared. Results: The curative effect of exercise group was obviously better than that of control group. WMFT, FMA and Barthel index had significant difference (P <0.01). Conclusion: Early exercise therapy can significantly improve ADL in acute stroke patients with hemiplegia, improve limb movement ability, reduce morbidity and improve their quality of life.