脑出血微创血肿碎吸术后早期康复治疗的临床效果评价

【目的】评价脑出血微创血肿碎吸术后早期康复治疗的临床效果。【方法】73例脑出血患者行微创血肿碎吸引流术后，随机分为康复治疗组和对照组。康复组根据患者情况进行早期康复治疗，对照组接受常规神经内科治疗。康复前后进行临床神经功能缺损程度评分、改良Fugl-Meyer评分、Bathel指数评定，并比较两组康复后3周内肺炎和褥疮并发症的发生情况。【结果】康复组临床神经功能缺损程度评分、改良Fugl-Meyer评分、Bathel指数评定明显优于对照组，其并发症发生率明显低于对照组。【结论】脑出血血肿微创碎吸术后进行早期适当的康复治疗可以降低并发症的发生并可改善患者肢体运动功能和日常生活能力。

Evaluation of the Clinical Therapeutic Efficacy in Early Rehabilitation After Minimally Traumatic Puncture Drainage of Hematoma for Treatment of Cerebral Hemorrhage

To evaluate the clinical therapeutic efficacy of early rehabilitation after minimally traumatic puncture drainage of hematoma for treatment of cerebral hemorrhage.Seventy-three cases of cerebral hemorrhage after minimally traumatic puncture drainage of hematoma were randomly divided into two groups: rehabilitative group (36cases) and control group (37 cases). Patients in rehabilitative group were treated according to early rehabilitation programs, while routine therapy of neurology was undertaken in the control group. Scores of defect degree in clinical neurological functions, modified Fugl-Meyer assessment scores and Bathel index scores were calculated before and after rehabilitation. The complication occurrence of pneumonia and bedsore within 3 wks after rehabilitation was compared between two groups.The Scores of defect degree in clinical neurological functions, modified Fugl-Meyer assessment scores and Bathel index scores in rehabilitative group were obviously better than those in control group (P<0.05).The occurrence rate of complications in the former was also significantly lower than that in the latter.[Conclusion]Suitable early rehabilitation therapy after minimal traumatic puncture drainage of hematoma for treatment of cerebral hemorrhage can reduce the rate of complications and improve motive function of limbs and ability of daily life (ADL).