脑出血患者康复治疗效果分析

The rehabilitation results of different time in convalescent intervention treatment of patients with cerebral bleeding

目的探讨脑出血康复治疗介入时间与运动功能和生活能力(ADL)恢复效果间的关系。方法将符合标准的90例以偏瘫为主要表现的脑出血患者随机分为A、B、C3组,各30例进行临床对照研究,3组均进行常规神经内科药物治疗,分别于发病5d后(A组)、14d(B组)、30d(C组)介入康复治疗,每例患者入组时、病程满3个月分别用Fugl-Meyer运动功能(FMA)量表测试运动功能和Barthel指数量表测试ADL。结果入选患者Barthel指数和Fugl-Meyer运动功能评分均明显改善,A组和B组取得了相近疗效(P>0·05);二者与C组比较,效果明显优于C组(P<0·01)。结论脑出血患者康复治疗应在发病14d内介入,能明显改善肢体运动功能,并对日常生活活动能力具有良好的促进作用。

Objective To study the relationship between rehabilitation intervening time and motor function of upper and lower extremities and activities of dally living in patients with cerebral hemorrhage. Methods 90 patients were randomly divided into three equal groups：A, BandC group according to their rehablitafion intervening time. Patients in the three groups were given clinical treatment. Rehabilitation was intervened in 5days（ A group）, 14days（B group）, 30days（ C group） after cerebral hemorrhage. The evaluation was done in pre - treatment and 3 months after treatment respectively. Motor function was assessed in Fugl - Meyer assessment and ADL was assessed in Barthel index. Results The motor scores and ADL scores in the three groups were obviously improved after treatment .The scores in A and B group were obviously superior to those in Cgroup （P 〈 0.01 ）while A group was similar to B group. Conclusion Rehabilitation should be intervened within 14 days after cerebral hemorrhage. In this period it might be more effective, and could obviously improve motor function and ADL.