早期康复治疗对脑外伤术后植物状态病人预后的影响

目的探讨早期康复治疗对植物状态病人预后的影响。方法选择24例植物状态病人作为研究对象,进行推拿点穴、针灸、旋磁疗法治疗,每天1次,10d为1个疗程,治疗3～9个疗程,评定康复治疗后PVS评分。以10例未行康复治疗的植物状态病人作为对照。结果康复组治疗后PVS评分较对照组显著提高,差异有显著性(F=177.2,q=24.152,P<0.01);早期治疗组(30d内)的PVS评分较晚期治疗组(31～90d)明显提高,差异有显著性(q=23.029,P<0.01)。结论早期康复治疗可明显改善植物状态病人的预后。

EFFECT OF EARLY REHABILITATIVE INTERVENTION ON PATIENTS IN VEGETATIVE STATE

Objective To study the effect of early rehabilitative intervention on prognosis of patients in vegetative state. Methods Twenty-four patients in vegetative state received rehabilitation treatment, i.e. massotherapy, acupuncture and moxibustion, and magnetic therapy, once a day for 31 to 90 days. Another ten patients in same state served as controls did not receive any rehabilitation treatment. The PVS scores were used to assess the therapeutic efficacy. Results The PVS scores of the patients treated were significantly higher than those of the control (F=177.2, q=24.152, P<0.01); and the patients who received the treatment earlier (within 30 days of vegetative state) had better results than late-treated group (31-90 days) (q=23.029, P<0.01). Conclusion Early rehabilitative intervention certainly improve the prognosis of patients in vegetative state.