术后早期神经康复治疗在高血压脑出血患者中的应用效果  

Application effect of early postoperative neurological rehabilitation in patients with hypertensive cerebral hemorrhage

作　　者：刘卫兵[1] 梁锐[1] 帅记焱[2] 江金文 方富 谢欣[2] 张先斌 LIU Weibing;LIANG Rui;SHUAI Jiyan;JIANG Jinwen;FANG Fu;XIE Xin;ZHANG Xianbin(Department of Neurosurgery,Jiujiang First People′s Hospital,Jiangxi Province,Jiujiang332000,China;Department of Rehabilitation,Jiujiang First People′s Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院神经外科,江西九江332000 [2]江西省九江市第一人民医院康复科,江西九江332000

出　　处：《中国当代医药》2022年第25期85-88,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204209)。

摘　　要：目的探讨术后早期神经康复治疗在高血压脑出血患者治疗中的应用效果。方法回顾性选取2017年8月至2021年8月九江市第一人民医院神经外科高血压脑出血患者60例,依据术后治疗方法分为早期组和晚期组,每组各30例,早期组于术后4~7 d进行神经康复治疗,晚期组于术后1~2周行神经康复治疗,统计分析两组患者的神经功能、日常生活活动能力、运动功能、认知功能、临床疗效、卧床时间、神经功能改善时间、日常生活活动能力改善时间、预后。结果治疗后,早期组患者的美国国立卫生研究院卒中量表(NIHSS)评分低于晚期组,差异有统计学意义(P<0.05),Fugl-Meyer运动功能量表(FMA)、日常生活活动能力量表(ADL)、简易精神状态量表(MMSE)评分均高于晚期组,差异有统计学意义(P<0.05)。早期组患者治疗的总有效率93.33%(28/30)高于晚期组66.67%(20/30),差异有统计学意义(P<0.05)。早期组患者的卧床时间短于晚期组,差异有统计学意义(P<0.05),神经功能改善时间短于晚期组,差异有统计学意义(P<0.05),日常生活活动能力改善时间短于晚期组,差异有统计学意义(P<0.05)。早期组的预后情况优于晚期组,差异有统计学意义(P<0.05)。结论术后早期神经康复治疗在高血压脑出血患者治疗中的应用效果较术后晚期神经康复治疗好。Objective To explore the application effect of early postoperative neurorehabilitation in the treatment of hypertensive cerebral hemorrhage.Methods A total of 60 patients with hypertensive intracerebral hemorrhage in the Department of Neurosurgery of Jiujiang first people′s Hospital from August 2017 to August 2021 were retrospectively selected.According to the postoperative treatment methods,they were divided into early group and late group,with 30 cases in each group.The early group received nerve rehabilitation treatment 4-7 days after operation,and the late group received nerve rehabilitation treatment 1-2 weeks after operation.Neurological function,daily living activity,motor function,cognitive function,clinical efficacy,bed time,improvement time of neurological function,improvement time of daily living activity and prognosis of 2 groups were statistically analyzed.Results After treatment,the score of National Institute of Health stroke scale(NIHSS)in the early group was lower than those in the late group,and the difference was statistically significant(P<0.05),and the scores of Fugl Meyer motor function scale(FMA),activity of daily living scale(ADL)and mini mental state scale(MMSE)were higher than those in the late group(P<0.05).The total effective rate in the early group was 93.33%(28/30)higher than that in the late group 66.67%(20/30),and the difference was statistically significant(P<0.05).The bed time in the early group was shorter than that in the late group,and the difference was statistically significant(P<0.05).The improvement time of neurological function was shorter than that in the late group(P<0.05),and the improvement time of daily living activity was shorter than that in the late group,and the difference was statistically significant(P<0.05).The prognosis of the early group was better than that of the late group,and the difference was statistically significant(P<0.05).Conclusion Early postoperative neurological rehabilitation is better than late postoperative neurological rehabilitation in th

关 键 词：神经康复治疗 高血压脑出血 神经功能 日常生活活动能力 运动功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]