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《Neural Injury and Functional Reconstruction》 2006-02
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Influence of Combined Rehabilitative Treatments on Prognosis of Patients with Moderate-Severe Cerebral Vascular Diseases

LIANG Rui~▲, XU En, DENG Bing-mei, LIU Zu-you, LU Xue-fen.~▲Institute of Neuroscience of Guangzhou Medical College, The 2nd Affiliated Hospital of Guangzhou Medical College, Gangzhou 510260, China  
Objective: To investigate how the combined rehabilitative treatments administered on early stage influence the prognosis of patients with moderate-sever cerebral vascular diseases. Methods: All the patients with acute cerebral vascular diseases admitted in 2001, whose NIHSS were higher than 7 and score for paralyzed limbs was higher than 2, have received combined rehabilitative therapy including acupuncture, exercise therapy and helium-neon laser therapy. The patients were assessed and documented with the Barthel Index, Modified Rankin Scale and NIHSS at admission, date of discharge, 3 months and 6 months after discharge and the final date at interview. The cases were divided into different groups according to the duration of committed rehabilitative therapy, the time when the treatment began. Results: All 397 patients were recruited. NIHSS scores at discharge in patients to whom rehabilitative therapy was applied at the acute phase was significantly lower than that of those on whom no rehabilitative therapy was employed (p0.05). At 12th month of onset, the combined therapy on patients yielded a significant recovery. There was no significant difference between the costs of those received rehabilitative therapy and that of the control groups. Conclusion: The earlier and the longer the rehabilitative therapy could perform, the better effects on the patients of moderate-sever cerebral vascular diseases. It was suggested that the duration of the rehabilitative therapy should be longer than 2 weeks. The rehabilitative therapy will not increase the total medical costs.
【CateGory Index】: R743.3
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