急性期脑出血病人早期综合康复治疗效果的临床观察

目的：观察早期综合康复治疗对急性期脑出血偏瘫病人功能恢复的影响。方法：将90例急性期脑出血病人随机分为康复组和对照组,两组病人均同时接受常规药物治疗。其中康复组60例,病情稳定48h后（发病7d内）即依据病人不同情况分别进行生物反馈训练（电刺激）、肢体功能训练、语言训练等综合个体化的康复治疗。对照组病人30例,不接受康复治疗。治疗前及治疗开始后30、60、90d分别采用美国国立卫生院卒中量表（NIHSS）、改良量表（MRS）、卒中影响量表（SIS）对病人日常生活活动能力（ADL）、残疾程度、生活质量状况进行评定。结果：治疗前康复组和对照组在NIHSS、MRS、SIS评分均无差异（P〉0.05）;治疗30d后两组ADL、残疾程度、生活质量状况与治疗前比较有显著差异（P〈0.01）;康复组改善更明显,与对照组比较有显著性差异（P〈0.01）;治疗60、90d随访,两组仍有显著差异,康复组改善程度明显优于对照组,组间差异有统计学意义（P〈0.01）。结论：急性期脑出血病人进行早期综合康复治疗,能显著改善病人日常生活活动能力,降低致残率,提高病人生活质量。

THE CLINICAL OBSERVATION OF EFFECT OF EARLY COMPREHENSIVE REHABILITATION IN HEMIPLEGIC PATIENTS WITH ACUTE CEREBRAL HEMORRHAGE

Objective： To observe the effect of early comprehensive rehabilitation on recovery of hemiplegic patients with acute cerebral hemorrhage.Methods：90 patients with acute cerebral hemorrhage were randomly divided into rehabilitation group and control group.Patients were both received conventional drug treatment in two groups.Patients in rehabilitation group were evaluated on their conditions and treated with individualized comprehensive rehabilitation including electrical stimulation,physical functional training,language training,etc.The rehabilitation group（60 cases） shows stable vital signs,stable condition（seven days after onset within）.The control patients（30 cases） did not receive rehabilitation treatment.Instead of evaluation by the U.S.National Institutes of Health Stroke Scale（NIHSS）,modified scale（MRS）,Stroke Impact Scale（SIS） of the patients activities of daily living（ADL）,disability,quality of life assessment of the condition on day 1,day 30,day 60 and day 90.Results：Before treatment,there are no apparent difference（P 0.05） in the NIHSS,MRS,SIS scores between the rehabilitation group and control group.After 30 days treatment,patient conditions such as activities of daily living（ADL）,disability,life quality were improved than before（P0.01）.Rehabilitation group improved more significantly than the control group（P0.01）.Treatment of 60 days,90 days follow-up,there are significant differences in the two groups.The improvement of rehabilitation group was still significantly better than that of the control group（P0.01）.Conclusion：The early comprehensive rehabilitation can help the patients with acute cerebral hemorrhage reduce disability;improve activities of daily living;and raise quality of life.