颅内肿瘤术后康复患者临床特征和康复特点分析  

Analysis on clinical and rehabilitation characteristics of postoperative rehabilitation patients with intracranial tumor

作　　者：胡安明 郭帅 张玉梅[1] HU Anming;GUO Shuai;ZHANG Yumei(Department of Rehabilitation Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院康复医学科,北京100070

出　　处：《吉林大学学报（医学版）》2021年第6期1526-1530,共5页Journal of Jilin University：Medicine Edition

基　　金：科技部重点研发专项(2020YFC2004100);科技部重点研发项目(2018YFC2002300,2018YFC2002302)。

摘　　要：目的:探讨颅内肿瘤术后康复患者临床特征和康复特点,为颅内肿瘤患者术后康复治疗提供依据。方法:回顾性分析26例颅内肿瘤术后康复患者的临床和康复评估资料,对患者性别、年龄、病理分类、组织学分级、神经功能障碍、高血压病史、冠心病史、糖尿病史、术后病程、是否并发下肢深静脉血栓形成、是否服用抗癫痫药物、入院时和出院时日常生活活动能力(ADL)评分进行统计学分析。结果:26例颅内肿瘤术后康复患者平均年龄为(46.42±15.23)岁,以男性居多(19例)。患者入院时间多集中在术后2~4周。最常见的功能障碍是运动障碍和平衡障碍共济失调。57.69%的患者在入院时并发下肢深静脉血栓形成,80.76%的患者服用抗癫痫药物,61.53%的患者存在严重运动障碍。患者入院时与出院时ADL评分比较差异有统计学意义(P<0.05)。结论:应重视颅内肿瘤术后康复患者下肢深静脉血栓形成和癫痫等常见临床并发症。此类患者一般并发多种类型功能障碍。术后康复治疗能有效改善患者的ADL。Objective:To discuss the clinical and rehabilitation characteristics of postoperative rehabilitation in the patients with intracranial tumor,and to provide the basis for the postoperative rehabilitation treatment of the patients with intracranial tumor.Methods:The clinical and rehabilitation data of 26 postoperative rehabilitation patients with intracranial tumor were retrospectively analyzed.The data of gender,age,pathological classification,histological grade,neurological dysfunction,history of hypertension,history of coronary heart disease,history of diabetes,postoperative time,lower extremity deep vein thrombosis,use of antiepileptic drugs,and scores of activities of daily living(ADL)on admission and discharge of all the patients were statistically analyzed.Results:The average age of 26 postoperative rehabilitation patients with intracranial tumor was(46.42±15.23)years,the majority of the patients was male(19 cases).The admission time was mainly from 2 to 4 weeks after the operation.The most common dysfunctions were motor dysfunctions and balance disorder and ataxia.A total of 57.69%of the patients were complicated with the lower extremity deep venous thrombosis,80.76%of the patients took the antiepileptic drugs,and 61.53%of the patients had the severe motor dysfunctions.There was significant difference in the ADL score of the patiens between admission and discharge(P<0.05).Conclusion:The attentions should be paid to the common clinical complications such as lower extremity deep venous thrombosis and epilepsy in the postoperative rehabilitation patients with intracranial tumor.Such patients are generally complicated with multiple types of dysfunctions.The postoperative rehabilitation therapy can effectively improve the ADL of the patients.

关 键 词：颅内肿瘤 康复 功能障碍 运动障碍 认知障碍 

分 类 号：R739.41[医药卫生—肿瘤]