摘要
目的:探索建立重症神经疾病患者早期康复程序。方法:将ICU内收治重症监护患者30例非选择性纳入研究。男性21例,女性9例;年龄23—89岁;23例(70.6%)存在意识障碍;需要机械通气和/或气管切开者12例(40%);接受开颅手术、微创手术、溶栓疗法等特殊治疗者16例(53.33%)。30例患者中4例患者因存在瞳孔改变、严重低氧血征、顽固性颅压增高等情况,入院时未实行早期康复,有2例开始康复时间分别后延至3—6天。其余26例患者在住入ICU或手术后48小时内开始早期康复治疗。结果:8例急症脑卒中患者经过早期积极治疗,神经功能缺损程度明显改善,在研究过程中发现6例接受静脉溶栓的急性脑梗塞患者偏瘫运动功能迅速恢复,一般在72小时内已出现分离性运动。本组重症神经疾病患者ADL能力也有显著进步。结论:康复医学工作者必须主动参与急性脑卒中与重症颅脑外伤的早期救治。积极探索制订重症神经疾病患者早期康复程序有重要的意义。
Objective:To establish an early rehabilitative process on severe neuropathy patients.Method:30ICU patients,male21,female9,aged23-89,were randomly collected,23cases(70.6%)had misawareness,12cases(40%)undergone mechanical ventilation and/or tracheotomied,16(53.3%)submitted to cranial operation,microsurgery or embolus dissolving.Among them4cases did not have early rehabilitation because of pupil changes,severe hypoximia and intractable high tracranial pressure.There were2patients had a3to6days delay in treatment.All the rest26patients received early rehabilitation.Result:8acute paralysis patients got marked improvment.6cases of acute parelized patients recovered quickly after embolus dissolving.The ADL score increased obviously.Conclusion:Rehabilitation doctors ought to play a role in acute paralysis and cranial injury.It is meanful to establish an early rehabilitation process.
出处
《中国康复医学杂志》
CAS
CSCD
2003年第6期334-335,共2页
Chinese Journal of Rehabilitation Medicine
