| 周先珊,李爱萍,董晓敏,郭知学,陈志刚,余芳,娄坤.早期综合康复治疗对颅脑损伤患者预后的影响[J].中国康复,2012,27(6):406-407 |
| 早期综合康复治疗对颅脑损伤患者预后的影响 |
| Effect of early comprehensive rehabilitation on prognosis of patients with traumatic brain injury |
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| DOI： |
| 中文关键词: 颅脑损伤 综合康复 |
| 英文关键词: traumatic brain injury comprehensive rehabilitation evaluation |
| 基金项目:南京军区医药创新重大专项课题（09Z037） |
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| 中文摘要: |
| 目的：探讨早期综合康复治疗对颅脑损伤(TBI)患者预后的影响。方法:中、重型TBI患者90例，随机分为观察组和对照组各45例。2组均予以常规药物、针灸、物理因子等治疗, 观察组加用综合康复锻炼、认知功能训练及高压氧治疗。治疗前后给予简明精神量表（MMSE）、改良巴氏指数（MBI）、运动功能评定量表（FMA）及平衡Berg 量表（BBS）评定。结果:治疗1个月后，2组患者MMSE、MBI、FMA、BBS等各项评分较治疗前均明显提高，观察组更高于对照组(均P＜0.01）；观察组并发症的发生率明显低于对照组（P＜0.05）。结论:TBI患者早期进行综合康复治疗，有利于改善患者运动功能及认知功能，减少并发症，提高患者生活自理能力。 |
| 英文摘要: |
| Objective:To explore the effect of early comprehensive rehabilitation on prognosis of patients with traumatic brain injury (TBI).Method:Ninety patients with moderate and/or severe TBI were randomly divided into observation group and control group (n=45 each).Both groups were given traditional treatment.The observation group was given early comprehensive rehabilitation training,cognitive training and hyperbaric oxygen therapy additionally.All patients were assessed with Mini-Mental State Examination (MMSE),Fugl-Meyer Acessment (FMA),modified Barthel index (MBI) and Berg Balance Scale (BBS).Results:All scores in both two groups were increased,more signifcicantly in observation group (all P<0.01).The incidence of complications in observation group was significantly lower than in control group (P<0.05).Conclusion:Early comprehensive rehabilitation on patients with TBI may obviously improve motor function and cognitive function,decrease complication and increase the activities of daily living. |
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