文章摘要
邸方,袁海涛,肖小华,王元星,李晓鹏,马杰,蒋伟,舒凯.早期康复治疗对脑出血微创术后患者功能恢复的影响[J].中国康复,2012,(5):323-324
早期康复治疗对脑出血微创术后患者功能恢复的影响
Effect of early rehabilitation therapy on recovery of function in patients with hypertensive cerebral hemorrhage after minimally invasive treatment
  
DOI:
中文关键词: 高血压脑出血  微创术  早期康复治疗  运动功能  生活活动能力
英文关键词: hypertensive cerebral hemorrhage  minimally invasive treatment  early rehabilitation therapy  motor function  activity of daily living
基金项目:湖北省自然科学基金(2009CDB291)
作者单位
邸方 武汉市东西湖区人民医院神经外科武汉 430040 
袁海涛 武汉市东西湖区人民医院神经外科武汉 430040 
肖小华 武汉市东西湖区人民医院神经外科武汉 430040 
王元星 武汉市东西湖区人民医院神经外科武汉 430040 
李晓鹏 华中科技大学同济医学院附属同济医院神经外科癫痫中心武汉 430030 
马杰 华中科技大学同济医学院附属同济医院神经外科癫痫中心武汉 430030 
蒋伟 华中科技大学同济医学院附属同济医院神经外科癫痫中心武汉 430030 
舒凯 华中科技大学同济医学院附属同济医院神经外科癫痫中心武汉 430030 
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中文摘要:
      目的:观察早期康复治疗对高血压脑出血患者微创治疗后运动功能和ADL的影响。方法:采用回顾性研究方法将84例脑出血微创手术后患者按就诊时间段分为康复组44例及常规组40例,2组均给予常规治疗和护理;康复组患者在生命体征稳定起即同时给予早期康复治疗,包括正确的床上体位,坐位及行走训练,培训家属等。治疗前后进行Fugl-meyer(FMA)及 Barthe指数(BI)评分,并比较并发症发生率。结果:治疗30d后,2组FMA及BI评分均较治疗前明显提高(P<0.01),康复组更高于常规组(P<0.05);治疗过程中,康复组患者肺部及泌尿系感染、贫血及压疮的并发症发生率明显低于常规组(P<0.01)。结论:早期康复治疗对脑出血术后患者整体功能恢复及减少并发症的发生有重要意义。
英文摘要:
      Objective:To investigate the effect of early rehabilitation therapy on motor function and activity of daily living in patients with hypertensive cerebral hemorrhage after minimally invasive treatment.Methods:Eighty-four patients with hypertensive cerebral hemorrhage undergoing minimally invasive treatment were divided into the rehabilitation therapy group(44 cases)and the routine therapy group(40 cases)retrospectively.Both groups received routine therapy.The rehabilitation therapy group also received early rehabilitation therapy,including position in bed,sitting,walking training and training of families.Fugl-meyer assessment(FMA)and Barthel index(BI)scoring before and after treatment were done,and the complication rate was compared.Results:After treatment for 30 days,FMA and BI scores in both groups were higher than pre treatment(P<0.01),and those in rehabilitation therapy group were significantly higher than in routine therapy group(P<0.05).The complication rate in rehabilitation therapy group was lower than in routine therapy group(P<0.01).Conclusion:Early rehabilitation therapy after minimally invasive treatment plays an important role in recovery of whole function and reducing complications of patients with hypertensive cerebral hemorrhage.
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