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目的探讨早期康复对急性脑梗死患者功能恢复的影响,及运动诱发电位(MEP)在评价患者运动功能及预后中的应用价值。方法选择80例急性脑梗死患者,分为对照组和早期康复组,每组40例。早期康复组采用Bobath法和运动再学习法等进行康复训练,对照组只接受神经内科药物治疗。2组均于治疗前和治疗3个月后,采用简式Fugl-Meyer运动功能评分法(FMA)和MEP进行评定。结果入选时2组FMA评分和MEP潜伏期及中枢运动传导时间比较,差异均无统计学意义(P＞0．05)；治疗3个月后,早期康复组与对照组FMA评分比较,差异有统计学意义,早期康复组改善明显(P＜0．05)；且MEP检测结果与FMA评分结果相符。结论早期康复训练可明显改善急性脑梗死患者的神经功能,而MEP可能作为偏瘫患者运动功能障碍及预后情况的定量分析指标。
Objective To investigate the effect of early rehabilitation on functional recovery in patients with acute cerebral infarction and the value of exercise-induced potential (MEP) in evaluating the motor function and prognosis of patients. Methods Eighty patients with acute cerebral infarction were divided into control group and early rehabilitation group, 40 cases in each group. Early rehabilitation group using Bobath method and exercise re-learning method for rehabilitation training, the control group received only neurological medicine. Before treatment and 3 months after treatment, the two groups were assessed by the simple Fugl-Meyer motor function score (FMA) and MEP. Results There were no significant differences in FMA scores, MEP latency and central motor conduction time between the two groups at the time of enrollment (P> 0.05). After 3 months of treatment, FMA scores of early rehabilitation group and control group were statistically different Significance, early rehabilitation group improved significantly (P <0.05); and MEP test results and FMA score results. Conclusion Early rehabilitation training can significantly improve the neurological function in patients with acute cerebral infarction, while MEP may be used as quantitative indicators of motor dysfunction and prognosis in patients with hemiplegia.