早期康复干预结合药物治疗急性脑梗死的效果
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[摘要] 目的：观察早期康复干预结合药物治疗对急性脑梗死患者临床效果的影响。方法：选择90例急性脑梗死患者并随机分为观察组和对照组，每组各45例，对照组按照常规给予单独药物治疗，观察组在患者生命体征稳定、神经病学体征稳定48 h后，在对照组治疗的基础上开始康复训练。所有患者于治疗前和治疗后均进行各项评分评定，以及治疗1、2、4、8周后进行血液测定。结果：治疗8周后，与治疗前比较，观察组的运动评分、神经功能评分和日常生活活动能力指数均有了明显的改变，并且优于对照组(P<0.05)；外周血hs-CRP、IL-1、IL-6的含量比治疗前也有明显的降低(P<0.05)；观察组的临床治疗效果优于对照组(P<0.05)。结论：在常规药物治疗的基础上实施早期康复训练治疗急性脑梗死不但降低了神经功能缺损的程度，恢复了患者运动和生活能力，还能明显降低炎症因子含量，从而减少了病死率，提高了临床治疗效果。
[关键词] 急性脑梗死；早期康复；运动能力；神经功能；炎症反应
[中图分类号] R743 [文献标识码]A[文章编号]1674-4721(2011)07(c)-057-03
The curative effect of early rehabilitation combined with medicine on acute cerebral infarction
YANG Ming
The People′s Hospital of Lianzhou City, Guangdong Province, Lianzhou 513404, China
[Abstract] Objective: To observe the influence of the clinical effect on early rehabilitation combined with medicine treatment for acute cerebral infarction. Methods: 90 cases of acute cerebral infarction were randomly divided into observation group and control group, every group for 45 cases, the control group gave the medicine to be treated in common practice, the observation group were beginning the rehabilitation training on the basis of the control group when the patients were vital signs stable and neurology signs stable after 48 hours. All the patients were giving a mark and assessing in prior treatment and post-treatment, and treated for one week, two weeks, four weeks and eight weeks to be determined the blood. Results: Treated for 8 weeks later, compared with prior treatment, the motor score, neurological deficit scores and the activities of daily living in the observation group had changed more than prior treatment, and better than the control group (P<0.05). The content of hs-CRP, IL-1, IL-6 were lowest (P<0.05). The clinical effect of the observation group was better than the control group (P<0.05). Conclusion: On the basis of the medicine treatment, to be early rehabilitation training on the acute cerebral infarction, it can make the neurological function deficit lower, and renew the exercise and life competence, and also can low the content of inflammatory factor, case fatality rate is low, and improving the clinical effect ......
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