早期康复治疗对脑出血患者微创清除术后神经功能和日常生活能力的影响  

Effect of Early rehabilitative intervention after surgery on neurological function and activities of daily living in the patient with cerebral hemorrhage

作　　者：靳峰[1] 刘春华[2] 郭守刚[3] 赵洪洋[1] 赵甲山[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022 [2]山东济宁医学院临床学院 [3]华中科技大学同济医学院附属同济医院神经内科

出　　处：《中国康复医学杂志》2007年第8期721-723,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨早期康复治疗对脑出血患者神经功能和日常生活能力的影响。方法:68例脑出血患者在发病24h内行颅内血肿微创清除术后,随机分为康复组和对照组,康复组患者在生命体征基本平稳后行早期康复治疗,对照组接受常规神经外科治疗。结果:治疗后康复组临床神经功能缺损评分、Barthel指数评分均优于对照组(P<0.01)。康复组的基本痊愈率显著高于对照组(P<0.05),两组的总有效率、病死率差异无显著性意义(P>0.05)。结论:脑出血患者行颅内血肿微创清除术后,早期康复治疗可以降低患者的临床神经功能缺损程度、提高日常生活能力。Objective： To explore the effect of early rehabilitative intervention after surgery on neurological function and activities of daily living （ADL） in the patient with cerebral hemorrhage. Method： 68 subjects with the eliminating haematoma with minimally invasive operation in 24h were randomly divided into rehabilitation group （group A） and control group（ group B）, All of them received routine treatment, and in addition, early rehabilitative intervention was given to the rehabilitation group, but not to the control one. Variation of clinical neurological function disorder and modified barthel index were evaluated in the patient with that two groups before treating or after treating, meanwhile, after 1 month treatment, total effective rate, near recovery rate and mortality rate were assessed in the patient with that two groups, respectively. Result： The modified barthel index of Group A and B were significantly higher, but the mark of clinical neurological function disorder were significantly lower after treating than before treating （P〈0.01）. At the end of one month near recovery rate of group A was higher than that of group B （P〈0.01）, but no significant differences on total effective rate and mortality rate in that two groups （P〉 0.05）. Conclusion： The eliminating haematoma with minimally invasive operation in 24h in the patient with cerebral hemorrhage, early rehabilitative intervention after surgery is able to reduce clinical neurological function disorder and increase ADL. Thus, this would be a good choice of treating cerebral hemorrhage.

关 键 词：脑出血 早期康复 功能恢复 微创手术 

分 类 号：R49[医药卫生—康复医学] R651[医药卫生—临床医学]