早期康复干预对脑出血患者功能恢复的影响

Effection on Functional Recovery of Cerebral Hemorrhage Patient with Early Rehab Intervention

目的探讨早期康复干预对脑出血患者运动功能和日常生活活动能力(ADL)的影响。方法80例脑出血患者分为早期康复组40例和晚期康复组40例。早期康复组在生命体征稳定,神经病学体征不再进展后48 h^7 d开始康复训练;晚期康复组在发病后3~4周开始康复训练。两组均采用以Bobath为主的运动疗法进行康复训练。采用Fugl-Meyer运动功能评定法(FMA)评定患者的运动功能;用修订的Barthel指数(MBI)评定患者的ADL;用脑卒中患者临床神经功能缺损程度评分(ND)评定患者的病情严重程度。结果两组患者的FMA、MBI和ND治疗前无显著性差异,治疗1个月后各项评分均较治疗前有明显改善,但早期康复组的改善程度更大。结论早期和晚期康复均能明显改善脑出血患者的运动功能和ADL,但早期康复干预的疗效更佳。

Objective To discuss the effection on motive hmction and ADL of cerebral hemorrhage patient with early rehab intervention. Methods 80 cases of such patient were divided into early rahab group and late rahab group in each 40 cases. The vital sign was stable and no progressive signs in early stage patient who received rahab training in 48 h to 7 days. The late rahab was began from 3 - 4 weeks after. The Bobath method was taken in both groups. The FMA score with Fugl - Meyer for motive function and MBI score of Barthel for ADL were taken. ND score for nerve function defection was taken. Results There was no difference between two groups in FMA, MBI AND ND. These scores were improved after 1 month therapy especially for early rehab group. Conclusion The rahab might improve the motive fumction and ADL and early rahab intervention might have better effect.