摘要
目的:探讨难治性癫痫术后早期康复介入的可行性和安全性。方法:应用回顾性研究方法,选取我院难治性癫痫术后早期康复治疗患者40例作为观察组,并选取同时期难治性癫痫术后未行早期康复治疗的患者40例作为对照组。治疗前后,统计2组生命体征(体温、呼吸、脉搏、血压)、手术伤口愈合及疼痛、癫痫发作、功能恢复情况进行比较,并统计康复介入时机进行分析。结果:治疗7d后,2组体温、脉搏、呼吸、血压比较差异均无统计学意义;2组伤口未愈且有疼痛患者比率、癫痫发作率均较治疗前明显降低(P<0.05),2组间比较差异无统计学意义。治疗10d后,2组肢体运动、言语、认知评分均较治疗前明显提高(P<0.05),且观察组较对照组肢体运动功能改善更明显(P<0.05)。2组术后康复介入时间统计,大多术后康复介入时间都在14d(85.0%)。结论:癫痫术后患者早期康复介入是安全的,时间可于术后2周内开始。
Objective ：To explore the feasibility and safety of early rehabilitation intervention on patients after refractory epilepsy surgery .Methods ：Retrospective method was applied in this study .Forty rehabilitation cases of epilepsy surgery were collected as observation group ,and 40 epilepsy patients after surgery without rehabilitation as control group .All data including vital signs ,surgical wound and pain ,epileptic seizure ,and rehabilitation efficacy were summarized and compared between two groups .Rehabilitation intervention time in rehabilitation group was an-alyzed alone .Results ：After treatment for 7 days ,there were no significant differences between two group in the vital signs .The rate of wound un-healing with pain and rate of epileptic seizures in both groups were declined obviously （P〈0 .05） ,but there was no significant difference between two groups .After treatment for 10 days ,the motor , speech ,and cognition function scores in both groups were increased as compared with pretreatment （P〈 0 .05） , more significantly of motor score in observation group than in control group （P〈0 .05） .The patients with rehabilitation intervention time of 14 days accounted for 85 .0% .Conclusion：Rehabilitation treatment in the earlier stage after epilepsy surgery is safe for patients .The start-up time is appropriate in two weeks .
出处
《中国康复》
2014年第3期186-188,共3页
Chinese Journal of Rehabilitation
关键词
癫痫
手术
早期康复
epilepsy
surgery
early rehabilitation
