康复训练对颅脑损伤患者预后的影响

Effect of rehabilitation training on prognosis in patients with tramatic brain injury

目的了解康复训练对颅脑损伤患者预后的影响。方法回顾性研究颅脑损伤患者115例,对治疗效果(意识、日常生活活动能力、步行能力)、住院天数、住院费用等进行分析。结果入、出院时GCS评分改善程度为:对照组(2.48±2.21)分,康复组(3.94±2.57)分,两者差异有统计学意义(P<0.05);ADL评分提高值:对照组(19.5±18.45)分,康复组(39.46±26.34)分,两者差异有统计学意义(P<0.05);步行能力:两组患者入、出院时步行能力的差异有统计学意义(P<0.05),出院时对照组和康复组差异有统计学意义(P<0.05);住院天数:对照组(53.46±22.34)d,康复组(51.09±24.89)d,两组差异无统计学意义(P>0.05)。住院费用:对照组(37189.72±21426.64)元,康复组(33124.86±21406.06)元,两组住院费用差异无统计学意义(P>0.05)。结论康复训练在不增加住院费用、不增加住院时间的前提下,有利于患者意识水平的恢复,可以有效地提高患者的日常活动能力和步行能力。

Objective To investigate the effect of rehabilitation on prognosis in patients with tramatic brain injury. Methods The data of 115 patients with tramatic brain were analyzed,including the level of cognition, activity of daily living, walking capability, length and cost of hospital stay. All patients divided into two groups： patients with active rehabilitation intervention （AR） and patients without rehabilitation intervention （NR）. Results The Glasgow Coma Scale score of cognition function was much higher in AR （3.94 ±2.57 ） than in NR （2.48 ± 2.21,P 〈 0.05 ）. The score of modified Barthcl Scale was also much higher in AR （ 39.5 ± 26.3 ） than in NR （ 19.5 ± 18.5, P 〈 0.05 ）. Similar improvement was also found in locomotion （ P 〈 0.05 ）. The length of hospital stay was （51.1 ± 24.9） days in AR and 53.5 ± 22.3 days in NR （ P 〉 0.05 ）. The cost of hospital stay was （33124. 86 ± 21406. 06） yuan in AR and （37189. 72± 21426. 64） yuan in NR （P 〉 0.05 ）. Conclusions Rehabilitation intervention may benefit the improvement of cognition, daily living,and locomotion in patients with traumatic brain injury without increasing the length and cost of hospital stay.