高血压脑出血术后早期康复疗效的对比研究

A randomized controlled trial of effect for hypertensive intracerebral hemorrhage after surgical procedures with early rehabilitation

目的探讨早期康复治疗对高血压脑出血手术患者术后功能恢复的影响。方法将68例高血压脑出血术后、GCS〉8分的患者随机分为早期康复组和对照组,每组34例,除进行常规的药物治疗外,早期康复组在术后24-72h病情稳定的情况下开始早期康复程序,对照组仅进行未经指导的自我锻炼。两组患者手术后康复治疗前、治疗后1个月和2个月均由同一医师进行运动功能评定（Fugl-Mey-er评定法,FM积分）和日常生活活动能力（ADL）评定（FIM评定法）。结果两组患者手术后1个月和2个月FM、FIM评分均明显升高。数据经统计学分析处理,结果显示手术后康复治疗前两组的FM、FIM评分无统计学意义（P〉0.05）,手术治疗后1个月、2个月两组的FM、FIM评分差异有统计学意义（P=0.000,0.000,0.001,0.000）（见表1）。结论早期规范的康复治疗可以提高高血压脑出血术后患者的日常生活能力和肢体运动功能。

Objective To study the curative effect of early rehabilitation after operation of hypertensive intracerebral hemorrhage in adult patients.Methods Sixty eight patients after operation of hypertensive intracerebral hemorrhage were randomly divided into two groups：early rehabilitation group（34 cases）and the control group（34 cases）.They were given general medicine therapy.Patients in early rehabilitation group were given early rehabilitation after operation 24 to 72 hours under stable condition,patients in the controll group exercised themselves without professional direction.Measurement of motor function（Fugl-Meyer measure, FM scores）and activities of daily living（ADL, functional independence measure, FIM scores）was given by the same doctor at the time of after operation,one month and two months after operation.Results The FM scores and the FIM scores of two groups all raised at the time of one month and two months, there was no significant difference between the two groups after operation（P〉0.05）,but there was significant difference between the two groups at the time of one month and two months after operation（P=0.000,0.000,0.001,0.000）（Tab.1）.Conclusion Early rehabilitation intervention can obviously improve motor function and activities of daily living of patients after operation of hypertensive intracerebral hemorrhage.