The Effect Of The Early Systemic Rehabilitation Of Acute Stroke And The Assessment Of Influence Factors

Objective:In china, the incidence of stroke is increasing, there are 2 millions new stroke patients in every year, and about 7 millions stroke patients in our country, including about two thirds who are disable, such as paralysis, somatosensory disorder, aphasia, apraxia and so on. At present, all kinds of strokes can not be cured by a kind of medicine, which has been confirmed through evidence-based medicine. The early systemic rehabilitation in the acute period has been acknowledged as one of the effective measures to improve neurological function disorder and the Basic ability of dairy life(BADL),but there is no a kind of effective evaluation to assess some rehabilitation technology such as Bobath,PNF,ROOD,relearning of motor function, besides, there is also no a kind of systemic evaluation to evaluate factors which give an influence to rehabilitation effect. in the medical circle. In this study, the effect of early systemic rehabilitation in the acute period for the stroke patients on the improvement of neurological function disorder and BADL will be discussed, also the factors which affect the rehabilitation effect.Methods:100 patients, who had been diagnosed as acute stroke, and had been in stable period. These patients had been assessed in some nature factors such as age, sex, education, also evaluated hypertension, diabetes, ischemic or hemorrhage, right or left cerebral sphere, single or multiple lesions, the rehabilitation commencement time, then these subjects were assessed through Social Support Rating Scale(SSRS), at the same time, also evaluated by NIH stroke scale(NIHSS)and Barthel index before and after rehabilitation. In the period of the rehabilitation, all subjects had been given the same medicine, and the same rehabilitation technologies, such as BOBATH, PNF, ROOD relearning of motor function,40 minutes every day, 6 times every week, the time last 1 month.1.According to NIHSS score, the patients had been devided into improvement group and no improvement group, then Discuss the differences of age, gender, education, hypertension, diabetes, ischemic or hemorrhage, single or multiple lesions, stroke sphere, the rehabilitation commencement time SSRS scores in two groups.2.Discuss the effective factors about the improvement of neurological function disorder of early systemic rehabilitation through the logistic regression analysis.3.According to Barthel index scores, the patients were divided into the self-care group and the unself-care group, then Discuss the differences of age, gender, education, hypertension, diabetes, ischemic or hemorrhage, single or multiple lesions, stroke sphere, the rehabilitation commencement time SSRS scores in two groups4.Discuss the effective factors about the improvement of BADL of early systemic rehabilitation through the logistic regression analysis.Results:1.Given a early systemic rehabilitation in acute period of stroke,the rate of improvement of neurological function is 69%.2.Single factor analysis showed that there were significant differences in ischemic or hemorrhage, he number of lesions, lesion sphere, the time of commencement rehabilitation, the support of society(P<0.01 or P<0.05) between improvement group and no improvement group3.Logistic regression analysis showed that giving a systemic rehabilitation, the improvement of neurological function disorder had an relation with lesion sphere, the time of rehabilitation, he support of society.4.Single factor analysis showed that there were significant differences in age, cerebral hemorrhage, the number of lesions, lesion sphere, the time of rehabilitation, the support of society (P<0.01 or P<0.05) between the self-care group and the unself-care group.5.Logistic regression analysis showed the influence factors to BADL mostly included the time of commencement rehabilitation and the support of society. Conclusions:1.Give early systemic rehabilitation in acute period of stroke, neurological function disorder and the ability of dairy life can be effectively improved.2.Give early systemic rehabilitation, the factors which obstruct the improvement of neurological function disorder included ischemic or hemo-rrhage, the number of lesions, lesion sphere, the time of commen-cement rehabilitation, the support of society, among these factors, single lesion, right cerebral sphere, lesion the appropriate time of commencement rehabi-litation the full support of society were all the gainful factors.3.Give early systemic rehabilitation, the factors which obstruct the improvement of BADL included age cerebral hemorrhage, the number of lesions, lesion sphere, the time of commencement rehabilitation, the support of society. Among them, the appropriate time of commencement rehabi-litation, the full support of society were both the gainful factors.