摘要
目的:观察早期康复治疗对高血压脑出血患者微创治疗后运动功能和ADL的影响。方法:采用回顾性研究方法将84例脑出血微创手术后患者按就诊时间段分为康复组44例及常规组40例,2组均给予常规治疗和护理;康复组患者在生命体征稳定起即同时给予早期康复治疗,包括正确的床上体位,坐位及行走训练,培训家属等。治疗前后进行Fugl-meyer(FMA)及Barthe指数(BI)评分,并比较并发症发生率。结果:治疗30d后,2组FMA及BI评分均较治疗前明显提高(P<0.01),康复组更高于常规组(P<0.05);治疗过程中,康复组患者肺部及泌尿系感染、贫血及压疮的并发症发生率明显低于常规组(P<0.01)。结论:早期康复治疗对脑出血术后患者整体功能恢复及减少并发症的发生有重要意义。
Objective：To investigate the effect of early rehabilitation therapy on motor function and activity of daily living in patients with hypertensive cerebral hemorrhage after minimally invasive treatment. Methods： Eighty-four patients with hypertensive cerebral hemorrhage undergoing minimally invasive treatment were divided into the reha- bilitation therapy group（44 cases）and the routine therapy group（40 cases）retrospectively. Both groups received rou- tine therapy. The rehabilitation therapy group also received early rehabilitation therapy, including position in bed, sit- ting, walking training and training of families. Fugl-meyer assessment （FMA） and Barthel index （BI） scoring before and after treatment were done,and the complication rate was compared. Results：After treatment for 30 days,FMA and BI scores in both groups were higher than pre-treatment（P〈0.01）, and those in rehabilitation therapy group were significantly higher than in routine therapy group（P〈0.05）. The complication rate in rehabilitation therapy group was lower than in routine therapy group（P〈0.01）. Conclusion： Early rehabilitation therapy after minimally invasive treatment plays an important role in recovery of whole function and reducing complications of patients with hypertensive cerebral hemorrhage.
出处
《中国康复》
2012年第5期323-324,共2页
Chinese Journal of Rehabilitation
基金
湖北省自然科学基金(2009CDB291)
关键词
高血压脑出血
微创术
早期康复治疗
运动功能
生活活动能力
hypertensive cerebral hemorrhage
minimally invasive treatment
early rehabilitation therapy
motor function
activity of daily living
