陈国梁　刘结梅　梁伟财

【摘要】 目的：研究与分析早期康复治疗急性脑梗死患者对上肢运动功能的提高价值。方法：选取本院2014年5月-2016年5月收治的急性脑梗死患者76例，根据不同治疗时机将其分为对照组和观察组，各38例。对照组采取常规治疗，观察组采取早期康复治疗。对比两组治疗前后FMA评分、Barthel指数以及治疗效果。结果：两组治疗前FMA评分、Barthel指数对比，差异均无统计学意义（P>0.05）；治疗后观察组FMA评分、Barthel指数均明显高于对照组，比较差异均有统计学意义（P<0.05）。观察组治疗总有效率为94.74%（36/38），明显高于与对照组的78.95%（30/38），比较差异有统计学意义（P<0.05）。结论：针对急性脑梗死患者实施早期康复治疗的效果非常显著，既能有效减少其神经功能缺损，又能显著改善其上肢运动功能，还可提升其日常生活能力，因此值得应用推广。

【关键词】 急性脑梗死； 早期康复治疗； 上肢运动功能； 提高价值

Value of Early Rehabilitation Treatment in Patients with Acute Cerebral Infarction on Upper Limbs Motor Function/CHEN Guoliang，LIU Jiemei，LIANG Weicai.//Medical Innovation of China，2018，15（16）：-116

【Abstract】 Objective：To study and analyze the value of early rehabilitation treatment in patients with acute cerebral infarction on upper extremity motor function.Method：A total of 76 patients with acute cerebral infarction admitted in our hospital from May 2014 to May 2016 were selected，according to the different treatment timing，they were divided into control group and observation group，38 cases in each group. The control group was taken conventional treatment，the observation group was taken early rehabilitation treatment.The score of FMA，Barthel index and therapeutic effect were compared between the two groups before and after treatment.Result：There were no significant differences in FMA scores and Barthel indexes between the two groups before treatment （P>0.05）.After treatment，FMA scores and Barthel indexes in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.The total effective rate of the observation group was 94.74%（36/38），which was significantly higher than 78.95%（30/38） of the control group，the difference was statistically significant（P<0.05）.Conclusion：The effect of early rehabilitation treatment on patients with acute cerebral infarction is very significant.It not only can effectively reduce the nerve function defect，but also can significantly improve the motor function of upper limbs，and improve their daily living ability.Therefore，it is worthy of popularization.

【Key words】 Acute cerebral infarction； Early rehabilitation treatment； Upper limbs motor function；Improve the value

First-authors address：Shunde Hospital of Southern Medical University，Foshan 528300，China

doi：10.3969/j.issn.1674-4985.2018.16.034

在臨床上，急性脑梗死是一种常见疾病，具有较高致残率和病死率。该病临床表现主要为肢体瘫痪、肢体麻木、言语及吞咽功能障碍、大小便障碍等，是由大脑皮质、锥体束、感觉传导束受损所致，其不仅会严重影响患者的生活能力，严重情况下还会危及患者生命安全[1-3]。已有临床研究表明，针对急性脑梗死患者采取早期康复治疗可显著改善其神经功能以及上肢运动功能，同时还能提升其日常生活能力[4-5]。因此本文选取本院2014年5月-2016年5月收治的急性脑梗死患者76例，根据不同治疗时机将其分为对照组和观察组，各38例，即对早期康复治疗急性脑梗死患者对上肢运动功能的提高价值进行了研究与分析，现报道如下。

1 资料与方法

1.1 一般资料 选取本院2014年5月-2016年

5月收治的急性脑梗死患者76例，根据不同治疗时机将其分为对照组和观察组，各38例。纳入标准：均经头颅CT或MRI确诊；均……