The effect of early rehabilitation therapy on the lower limbs of acute stroke patients with hemiplegia
早期康复治疗对急性脑卒中偏瘫患者下肢效果

摘要

目的 观察研究早期康复治疗对急性脑卒中偏瘫患者下肢效果。方法 选择我院自2020年12月—2022年1月期间收治的急性脑卒中偏瘫患者92例作为此次观察研究对象。按照随机数字表法，将所有患者随机分为两组，即治疗组与对照组，每组患者各46例。对照组实施常规治疗方式，治疗组则在对照组基础上实施早期康复治疗，并对比两组治疗前后临床效果。结果 两组在经过治疗后各项功能均有不同程度改善。其中，对照组与治疗组在治疗前下肢运动功能，差异无统计学意义（P＞0.05）；治疗后，治疗组下肢运动功能评分高于对照组，差异有统计学意义（P＜0.05）；按照SS-QOL量表与NIHSS量表结果，治疗前，两组生活质量与神经功能损伤无明显差异，无统计学意义（P＞0.05）；治疗后，治疗组生活质量与神经功能损伤评分均优于对照组，差异有统计学意义（P＜0.05）；同时，对照组治疗有效性低于治疗组，差异有统计学意义（P＜0.05）。结论 针对急性脑卒中攀谈患者实施早期康复治疗的临床效果较显著，能有效改善患者下肢运动功能，促进降低下肢并发症风险，帮助患者神经功能恢复，减少持续性神经损伤，继而有效提升生活质量，提高治疗效率。方法有效，值得临床广泛运用。

Abstract

Objective: To observe and study the effect of early rehabilitation therapy on the lower limbs of acute stroke patients with hemiplegia.
Methods A total of 92 patients with acute cerebral hemiplegia who were treated in our hospital from December 2020 to January 2022 were selected as the subjects of this observation and research. According to the random number table method, all patients were randomly divided into two groups, namely the treatment group and the control group, with 46 patients in each group. The control group was given routine treatment, while the treatment group was given early rehabilitation therapy on the basis of the control group, and the clinical effects before and after treatment were compared between the two groups.
Results The functions of the two groups were improved to varying degrees after treatment. Among them, there was no significant difference in lower extremity motor function between the control group and the treatment group before treatment (P>0.05); after treatment, the lower extremity motor function score of the treatment group was higher than that of the control group, and the difference was statistically significant (P<0.05); According to the results of SS-QOL scale and NIHSS scale, before treatment, there was no significant difference in quality of life and neurological impairment between the two groups (P>0.05). Compared with the control group, the difference was statistically significant (P<0.05); at the same time, the treatment efficacy of the control group was lower than that of the treatment group, and the difference was statistically significant (P<0.05).
Conclusion   The clinical effect of early rehabilitation therapy for acute stroke patients is significant, which can effectively improve the motor function of the lower limbs, promote the reduction of the risk of lower limb complications, help patients recover neurological function, reduce persistent neurological damage, and then effectively improve the quality of life. Improve treatment efficiency. The method is effective and worthy of extensive clinical application.