早期康复治疗对脑出血微创清除术后患者神经及运动功能的影响  

Effect of early rehabilitation therapy on nerve and motor function of patients after minimally invasive removal of cerebral hemorrhage

作　　者：曹子轩 王冬杰 祁晓花 CAO Zixuan;WANG Dongjie;QI Xiaohua(Langfang People’s Hospital,Langfang 065000,China;Langfang Health Vocational and Technical College,Langfang 065000,China;The Fourth People’s Hospital of Langfang,Langfang 065000,China)

机构地区：[1]廊坊市人民医院,河北廊坊065000 [2]廊坊市卫生职业技术学院,河北廊坊065000 [3]廊坊市第四人民医院,河北廊坊065000

出　　处：《中国实用神经疾病杂志》2024年第11期1391-1394,共4页Chinese Journal of Practical Nervous Diseases

基　　金：廊坊市科学技术局项目(编号:2018013119)。

摘　　要：目的观察早期康复治疗对脑出血患者微创清除术后神经功能与运动功能的影响。方法选取2019-01—2021-06廊坊市人民医院收治的68例脑出血患者,均接受微创清除术治疗,随机分成2组,对照组采取常规治疗干预,研究组采用早期康复治疗。对比2组患者的总体效果,采用NIHSS评分、Barthel指数、Fugl-Meyer运动功能评分分别对2组患者的神经功能、日常生活能力、运动功能进行评定,并进行对比。观察2组患者的并发症发生情况。结果研究组较对照组的总体效果更优(91.2%比70.6%,P<0.05)。治疗前,对照组NIHSS评分(2.13±0.55)、Barthel指数评分(2.07±0.68)、Fugl-Meyer运动功能评分(47.57±5.06),研究组NIHSS评分(2.12±0.61)、Barthel指数评分(2.10±0.53)、Fugl-Meyer运动功能评分(47.84±3.21)。治疗后,对照组NIHSS评分(1.62±0.37)、Barthel指数评分(1.44±0.21)、Fugl-Meyer运动功能评分(68.93±4.17),研究组NIHSS评分(1.03±0.18)、Barthel指数评分(0.92±0.17)、Fugl-Meyer运动功能评分(78.62±5.04)。研究组患者NIHSS评分较对照组更低(P<0.05),Barthel指数、Fugl-Meyer运动功能评分更高(P<0.05)。研究组患者的并发症发生率较对照组更低(14.7%比55.9%,P<0.05)。结论对于脑出血微创清除术后患者,早期康复治疗能够有效改善患者的神经功能,增强运动功能,大幅降低术后并发症发生率。Objective To observe the effect of early rehabilitation on neurological function and motor function of patients with cerebral hemorrhage after minimally invasive removal.Methods A total of 68 patients with cerebral hemorrhage admitted to Langfang People’s Hospital from January 2019 to June 2021 were randomly divided into two groups,the control group received conventional treatment and intervention,and the study group received early rehabilitation treatment.The overall effect of the two groups was compared,and the NIHSS score,Barthel index and Fugl-Meyer assessment score were used to evaluate the neurological function,daily living ability and motor function.The occurrence of complications in two groups was observed.Results The overall effect of study group was better than that of control group(91.2%vs 70.6%,P<0.05).The NIHSS score of the study group was lower(P<0.05),and the Barthel index and Fugl-Meyer assessment score were higher(P<0.05).The incidence of complications in the study group was lower than that in the control group(14.7%vs 55.9%,P<0.05).Conclusion For the patients after minimally invasive removal of cerebral hemorrhage,early rehabilitation treatment can effectively improve the neurological function,enhance the motor function,and significantly reduce the incidence of postoperative complications.

关 键 词：脑出血 早期康复治疗 微创清除术 神经功能 日常生活能力 运动功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]