高血压脑出血微创治疗后偏瘫早期康复治疗的临床研究

THE CLINICAL STUDY OF THE EARLY REHABILITATION OF MINI-INVASIVE SURGERY TREATING HYPERTENSIVE CEREBRAL HEMORRHAGE

目的:探讨高血压脑出血微创颅内血肿清除术加早期康复的疗效。方法:将100例高血压脑出血病人分为治疗组与对照组,治疗组50例在内科治疗基础上行CT片定位法微创血肿清除术同时加康复治疗;对照组为内科保守治疗50例。比较两组治疗后的有效率、病死率和治疗前后肢体运动功能、神经功能缺损程度、生活自理能力。结果:治疗组有效率为90%,病死率为4%;对照组有效率为44%,病死率为38%,两组比较有显著差异(P<0.05)。比较两组术后肢体运动功能、神经功能缺损程度、日常生活活动评价也有显著差异(P<0.05)。结论:微创颅内血肿清除术加早期康复治疗能提高高血压脑出血偏瘫病人的有效率,降低病死率,早期行康复治疗能促进肢体运动功能、神经功能缺损程度恢复,提高病人生活自理能力。

Objective： To explore the curative effect of mini -invasive evacuation of intracranial hematoma, coupled with the rehabilitation in the patients of early stage hypertensive cerebral hemorrhage. Methods： 100 cases with hypertensive cerebral hemorrhage were divided into treatment group and control group ,50 cases of each. Based on the internal medicine treatment, the 50 cases in the treatment group receive CT guidance microresecting technique coupled with neurological rehabilitation therapy. The other 50 cases in the control group received the internal conservative treatment. Finally the comparison was conducted to the effective rate, death rate, the functions of body movement, the degrees of neuro - functional damage and self - caring ability. Results： The effective rate and death rate in the treatment group were 90% and 4% respectively;the same rates in the control group were 44% and 38%. There is a significant difference（ P 〈 0. 05 ） ,which is also shown in body movement functions,the degrees of neuro - functional compared. Conclusion： While sive evacuation of intracranial damage and activities of daily living evaulation when the two groups are treating the patients with hypertensive cerebral hemorrhage, mini - invahematoma, coupled with the rehabilitation in the early stage is effective in enhancing the effective rate, lowering death rate, improving body movement functions, the recovery of neuro - functional damage and the self - caring ability of the patients.