| Objective:To explore the effect of early comprehensive rehabilitation training on prognosis of acute cerebral infarction,and risk factors.Methods:All 120 cases of acute cerebral infarction were randomly divided into control group (n=60) and observation group (n=60).The control group was given normal treatment, and the intervention group given early comprehensive rehabilitation training measures (such like basic training,speech training and acupuncture treatment) besides the control group.The indexes of HAMD score,NIHSS score,FMA score,ADL score and total effective rate were compared between the two groups,and risk factors of bad prognosis were screened by multiple factors analysis method.Results:After 3 months of rehabilitation treatment, HAMD score in observation group and NIHSS score in both groups were lower than pretreatment (P<0.01),HAMD and NIHSS scores in observation group were significantly lower than those in control group (P<0.01).FMA score and ADL score in both groups were significantly higher than pretreatment (P<0.01), and those in observation group were significantly higher than those in control group (P<0.01). Multiple factors analysis revealed that age,diabetes,infection,late visit,no early rehabilitation training and lower NIHSS score were the risk factors of unfavorable prognosis of cerebral infarction(P<0.05,P<0.01).Conclusions:Early comprehensive rehabilitation training measures for acute cerebral infarction can obviously improve depressive state,promote recovery of nerve function and raise daily life quality.There are many independent risk factors affecting the prognosis of patients with cerebral infarction, so we should formulate effective preventive measures to aim directly at these risk factors. |
