脑卒中老百姓称为“中风”。众所周知，中风后存活的患者多数会留下后遗症，其中偏瘫、吞咽困难、语言障碍、认知障碍等是最常见的。目前对这些后遗症治疗，唯一有效的方法就是综合康复治疗。康复科专家表示，不少人对康复治疗的印象仅局限于“动动手脚”、“做做理疗”，这些误区导致中风后的患者丧失了很多恢复健康的机会。

Stroke people called"A stroke".As is known to all,Survival of patients most will leave sequela after stroke,Including hemiplegia/Difficulty swallowing/The language barrier/Cognitive impairment, etc are the most common.Now for the treatment of these complications,The only effective approach is comprehensive rehabilitation treatment.Rehabilitation division, experts say,Many people impression of rehabilitation treatment limited to"Use your hands and feet"/"To do physical therapy",These misconceptions after stroke patients lost many opportunities back to health.

误区1 Mistake 1

中风偏瘫了，回家请个保姆照顾就行了，干嘛要多花钱去做康复治疗？ The stroke hemiplegia,Go home please a nanny to take care of,Why spend more money to do rehabilitation therapy?

　　大部分老百姓对康复认识极为不足，甚至很多中风后的患者压根就没做过任何康复治疗。广州市红十字会医院康复科主任徐武华说，据统计，大约有70%的中风患者从来没有进行康复治疗，他们出院回家后要么自己颤颤颠颠地走动，要么坐轮椅完全要人照顾。实际上，卒中后的康复是一个非常复杂、任务艰辛的系统工程。假如把卒中当成一场火灾，那么康复就好比灾后重建。康复不仅仅是要恢复患者肢体功能，还要减轻卒中后受打击的精神压力和认知障碍。

Most of people understanding of rehabilitation is very insufficient,Even after many stroke patients didn't make any rehabilitation.Guangzhou Red Cross hospital rehabilitation of Xu Wuhua said,According to the statistics,About 70% of stroke patients has never been to rehabilitation,After they discharged or bouncing jump,Or a wheelchair completely needs taken care of.In fact,Rehabilitation after stroke is a very complex/Task arduous systems engineering.If the stroke as a fire,So recovery is like a post-disaster reconstruction.Rehabilitation is not only to restore the limb function,To relieve mental pressure of the hit after stroke and cognitive impairment.

　　徐武华说，研究发现做不做康复治疗，患者的恢复差异是很大的。而且越是年轻的、病情轻的患者做康复治疗的效果越大，因为这类病人通过康复治疗，有的人不仅恢复肢体功能，还能流畅地说话，日常生活甚至不需要他人来照顾，有的还能重新走到工作岗位上来。

Xu Wuhua said,Studies have found that do not do rehabilitation,The recovery of patients with difference is very big.And the more young/Treatment of patients with light do the effect of rehabilitation treatment,For such patients through rehabilitation,Some people not only to restore limb function,Also can be smoothly to talk,Don't even need to others to take care of daily life,Some still can go back to work.

误区2 Erroneous zone 2

等病人出院后才开始进行康复治疗，结果拖到病后一个月，甚至三个月后才开始。 Wait to patients after discharge to rehabilitation therapy,Results until a month after illness,Even after three months.

　　不少中风患者及其家属认为：康复治疗要等待病人从神经科出院之后才开始进行。以至于患者拖到病后一个月，甚至三个月后才能进行康复治疗。其实，正规的康复训练开始得越早，康复效果越好，但是好多人都因为这种观点而错过了最好的康复时机。

Many stroke patients and their families:Rehabilitation treatment should waiting for the start of the patients after discharge from neuroscience.A month after that patients to disease,Even three months after rehabilitation treatment can proceed.In fact,Formal rehabilitation training started earlier,Recover the better the results,But a lot of people because this view and missed the best time to recovery.

　　徐武华说，现代卒中康复的观点是，“卒中发生的那一刻，就应该是康复介入之时”。而且越早开展，患者的获益越大。比如，正确地摆放偏瘫的肢体以避免关节因为肌肉无力而出现脱臼和僵硬在一个非功能状态就是一种康复。“一切让患者减轻、弥补、纠正卒中损伤本应导致的各种功能丧失都是康复。”他强调，“绝不是等出院了才开始进行康复治疗的。”

Xu Wuhua said,View is the modern rehabilitation of stroke,"Stroke of the moment,It should be rehabilitation intervention".And the earlier,The greater the benefit of patients.Such as the,Correctly put hemiplegic limbs to avoid dislocated joints appear due to muscular weakness and stiffness in a nonfunctional state is a kind of rehabilitation."All patients with ease/Make up for/Correct stroke damage should have lead to loss of various functions were recovered."He stressed that,"Is not only to begin rehabilitation was released from the hospital."

误区3 Myth 3

康复治疗很简单，不就是躯体上活动胳膊、拉拉腿，这些我们家属都会做的。 Rehabilitation treatment is simple,Physical activity on the arm/Lala legs,These families will be we do.

　　这是最严重错误的观点。徐武华说，康复训练远没有想象得那么简单。必须在经过康复医师、康复治疗师以及康复护士等专业人员指导下，根据每个患者的具体情况具体分析、然后制定有针对性的治疗方案，由治疗师按步骤一步一步地进行训练，具体可以精确到每一块肌肉，每一动作的训练，都不是随意的。

This is the most serious mistake.Xu Wuhua said,Rehabilitation training is not imagination so simple.Physicians must after recovery/Under the guidance of rehabilitation therapists and rehabilitation nursing professionals,According to each patient's particular case is particular analysis/And then to develop targeted therapies,By the therapist step by step, for training,Concrete can be accurate to every muscle,Every action of the training,Is not optional.

　　否则，肯定会出问题的。临床发现，不少中风患者自行在家做康复，都出现肩关节半脱位、肩关节疼痛、肩手综合征等问题，以致后果非常严重，因为一旦出现肩手综合征。基本说病人这个胳膊、这个手就残废了。所以，康复治疗不能自己来，一定要按照医生、治疗师、护士的指导来做。

otherwise,Will certainly out of the question.Clinical findings,Many stroke patients to do rehabilitation at home,In shoulder joint subluxation/Shoulder joint pain/Shoulder hand syndrome and other issues,So the consequences is very serious,Because once appear, shoulder hand syndrome.Basic said patients the arm/The hand is disabled.so,Rehabilitation treatment to themselves,Must be in accordance with the doctor/The therapist/For the guidance of the nurse.

误区4 Myth 4

勤快积极地做练习，我训练的强度越大，恢复越快。 Diligent to do exercises actively,The greater the intensity of my training,The faster recovery.

　　卒中后康复程度并不都是越强越好，越积极越好，而是有步骤、有计划地进行。例如，一个80岁的老伯做康复治疗时，就不能对其要求太高，还要充分考虑到他的神智、精神状态、理解能力、心肺功能等。

Degree of rehabilitation after stroke are not more is better,As positive as possible,But step by step/Carried out in a planned way.Such as the,A 80 - year - old old man do rehabilitation therapy,Can't demand is too high,To fully take into account his sanity/Mental state/Understanding ability/Cardiopulmonary function, etc..

　　早期康复治疗的重点应放在减少并发症上，等患者病情稳定，神智和精神改善之后才开始实施行走、肢体主动移动等方面的康复。一般来说，半身瘫痪的病人进行康复时，应优先考虑下肢(下肢决定了活动的范围)。在中风半年后，多数患者已经进入康复效果平台期，此时偏瘫的肢体大多已经开始进入痉挛状态，康复重点则应该放在日常生活能力训练上，以使患者尽可能适应新的生活。

Early rehabilitation treatment should focus on reduce the complications,And other patients in stable condition,Mind and spirit to improve before he began to walk/Rehabilitation of limb active mobile, etc.In general,Paralyzed patients in rehabilitation,Priority should be given to the lower extremities(Determine the scope of activities of lower limbs).Six months after a stroke,Most has entered a rehabilitation in patients with plateau effect,At this point most hemiplegic limbs have begun to enter the spasticity,Rehabilitation should be focus on daily life ability training,To make the patients as much as possible to adapt to the new life.

误区5 Myth 5

注意力全放在病人的躯体活动上，完全没有关注到病人的抑郁情绪。 Attention on the patient's body activities,No attention to the patient's depression.

　　中风对一个人的精神打击是很大的，尤其是对男人而言，他们常常会因为中风而变得抑郁。据统计，40%-70%的卒中患者都会或多或少地出现认知障碍、焦虑、抑郁、性格改变等问题，这些问题如果家属不及时察觉和干预，不仅严重影响康复的效果，也明显降低患者的生存质量。

Stroke of a person's spirit blow is very big,Especially for men,They often become depressed after a stroke.According to the statistics,40% to 70% of stroke patients will appear more or less cognitive impairment/anxiety/depression/Personality change,These problems if families do not timely detection and intervention,Not only the serious influence the effect of rehabilitation,Also obviously reduce the patient's quality of life.

　　徐武华称，有一些病人中风后，由于完全由家人照顾，自己从来不去做力所能及的事情，结果肌肉发生废用性萎缩、大脑出现了认知障碍，人也变得懒惰、不爱说话、抑郁等，故在康复过程中，不仅要认真考虑患者的肢体功能障碍，还要充分考虑患者的心理和认知上的问题。张华、李丽斯、胡颖仪

Xu Wuhua said,There are some patients after stroke,Due to the completely are cared for by family members,Can do things you never do,Results muscle disuse atrophy/The brain cognitive impairment,People have become lazy/Don't love to talk/Depression, etc.,Therefore, in the process of rehabilitation,Not only should consider patients' limb dysfunction,To fully consider a patient's psychological and cognitive problems.Zhang hua/Lillis Crosby/Hu Yingyi