不同康复介入时机对老年脑出血患者运动功能及神经功能的影响分析

Analysis of the Effects of Different Rehabilitation Intervention Timing on Motor Function and Nerve Function in Elderly Patients with Cerebral Hemorrhage

目的分析不同康复介入时机对老年脑出血患者运动功能及神经功能的影响.方法随机选取山东省德州市平原县第一人民医院2017年11月—2019年6月收治的96例脑出血患者展开研究,通过双盲选法将其分为常规组(n=48)和研究组(n=48),常规组于3~14 d之间介入康复治疗,研究组于3 d内介入康复治疗,比较两组治疗效果.结果在康复介入前,组间FMA评分、NIHSS评分及MBI评分比较,差异无统计学意义(P>0.05);在康复介入后,研究组FMA评分、NIHSS评分及MBI评分均显著优于常规组,差异有统计学意义(P<0.05).组间致残率以及并发症总发生率比较,常规组显著高于研究组,差异有统计学意义(P<0.05).结论对于脑出血患者,选择发病后3d内介入康复治疗可为其康复带来更大获益,有利于进一步促进患者运动功能以及神经功能的恢复,提高其日常生活能力,降低致残率,减少各种并发症的发生.

Objective To analyze the effects of different rehabilitation intervention timings on motor function and nerve functionin in elderly patients with cerebral hemorrhage.Methods A random selection of 96 patients with cerebral hemorrhage admitted to the Pingyuan County First People's Hospital of Dezhou City from November 2017 to June 2019 were carried out for the study,and they were divided into a routine group(n=48)and a study group(n=48)by double-blind selection method.The routine group received interventional rehabilitation between 3 and14 days,the study group received interventional rehabilitation within 3 days.The therapeutic effects of the two groups were compared.Results Before rehabilitation intervention,the differences in FMA score,NIHSS score and MBI score between the patients of the two groups were not statistically significant(P>0.05);after rehabilitation intervention,the FMA score,NIHSS score and MBI score of the study group were significantly better than those of the routine group,the differences were statistically significant(P<0.05).The disability rate and the total incidence of complications of the routine group were both significantly higher than those of the study group,the differences were statistically significant(P<0.05).Conclusion For patients with cerebral hemorrhage,choosing interventional rehabilitation within 3 days after the onset of the disease can bring greater benefits to the patient’s rehabilitation,which is conducive to further promoting the recovery of the patient’s motor function and neurological function,improving the ability of daily living,reducing the disability rate,and reducing various complications occur.