简介：　　【摘 要】 目的：探讨时间管理康复治疗对脑卒中偏瘫患者肢体运动功能的影响。方法：选取 2018年 6月至 2019年 6月本院 120例脑卒中偏瘫患者为研究对象，按入院单双号形式将他们分为研究组和对照组，各 60例，对照组按照常规药物和康复锻炼方法进行治疗，研究组根据时间对于疾病发展的影响制定相应的治疗康复方案，即在患者发病 24h或病情稳定时便进行早期康复训练及床上良肢摆放位，肢体主、被动运动，并在脑卒中患者运动恢复最佳阶段对患者进行上、下肢运动功能训练，训练方法及幅度应根据患者自身病情，由主治医师及康复医生共同参与并指导家属共同实施，并对入院时、治疗 1个月和 5个月的肢体运动功能和日常生活能力进行评定，评定表采用上田敏偏瘫功能分级（上下肢）和改良 Barthel指数评定量表进行评定，平衡功能评定采用 Berg平衡量表进行。结果：治疗前后效果同组间比较，两组均有明显改善（ P<0.05），但两组间比较结果，研究组明显优于对照组，两组比较差异显著。（ P<0.05）。结论：时间管理可明显提高脑卒中偏瘫患者的上、下肢体运动功能，提高平衡能力，改善患者的生活质量。  　　【关键词】 时间管理；脑卒中；肢体功能；康复  　　 [Abstract] Objective: To explore the effect of time management rehabilitation on the limb motor function of stroke hemiplegia patients. Methods: from June 2018 to June 2019, 120 stroke hemiplegia patients in our hospital were selected as the research objects. They were divided into study group and control group according to the form of admission single and double number, 60 cases in each group. The control group was treated according to the conventional drugs and rehabilitation exercise methods. The study group made the corresponding treatment and rehabilitation plan according to the influence of time on the development of the disease, that is, 24 hours after the onset or the condition was stable At the same time, we should carry out early rehabilitation training, put good limbs on the bed, exercise the limbs actively and passively, and exercise the upper and lower limbs in the best stage of stroke patients' exercise recovery. The training method and range should be based on the patients' own condition, with the participation of the attending physician and rehabilitation medical students, and guide their families to carry out the training together, and the limbs at the time of admission, treatment for one month and five months should be treated The motor function and the ability of daily living were assessed by the upper and lower extremities and the modified Barthel index rating scale. The balance function was assessed by the Berg balance scale. Results: before and after treatment, the effects of the two groups were significantly improved (P < 0.05), but the results of the two groups were significantly better than that of the control group. （ P<0.05）。 Conclusion: time management can improve the motor function of upper and lower limbs, balance ability and life quality of stroke patients.

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