康复治疗对脑外伤患者肢体功能的影响

目的:观察早期康复对颅脑损伤患者肢体功能及预后的影响。方法:90例颅脑损伤患者分为康复组和对照组各40例,对照组接受外科常规手术及降颅压、营养神经、支持和对症治疗;治疗组在此基础上进行肢体功能训练及日常生活能力训练。比较两组患者治疗前后的神经功能缺损程度、Fugl-Meyer量表(FMA)改良Barthel指数(MBI)和残疾分级量表测评的评分。结果:康复组患者的神经功能缺损程度、FMA、MBI、残疾功能缺损程度与对照组比较有显著性差异。结论:早期康复治疗可以改善颅脑损伤患者的神经功能,降低并发症的发生率。

Effect of Early Rehabilitation on Patients with Closed Traumatic Brain Injury

Objective:To observe the effect of early rehabilitation on patients with closed traumatic brain injury(TBI).Methods:90 TBI patients were divided into rehabilitation group and control group with 40 cases in each group.The control group was treated with routine surgical and other treatments.The rehabilitation group was treated with limb exercise and daily living training,besides treatments mentioned above.The scores of degrees of neural damage,Fugl-Meyer Assessment(FMA),modified Barthel index(MBI) and disability rating scale within 3 months of two groups were compared.Results:The scores of degree of neural damage,FMA,MBI and disability rating scale,and rate of complication of the rehabilitation group were significantly different from that of the control group.Conclusion:Early rehabilitation can improve brain function and reduce complication incidence of TBI patients.