微创钻颅术结合早期康复治疗高血压性脑出血21例临床分析

Early rehabilitative treatment for hypertension intracerbral hemorrhage after minimally invasive cranial surgery drilling

目的探讨微创钻颅术结合早期康复治疗高血压性脑出血的疗效。方法 45例高血压脑出血患者行微创钻颅术治疗,结合早期康复21例为康复组,单纯微创钻颅术24例为对照组,比较两组NIHSS评分与Barthel指数评分。结果治疗后15d时两组NIHSS评分康复组明显好于对照组(P<0.05);3个月时Barthel指数评分康复组明显好于对照组(P<0.05)。两组均未出现再出血和死亡。结论与单纯微创钻颅术治疗相比,微创钻颅术结合早期康复治疗基底节区中等量以上(30-100m1)高血压脑出血,可以提高患者日常生活活动能力。

Objective To investigate the therapeutic effects of early rehabilitative treatment for hypertension intracerbral hemorrhage after minimally invasive cranial surgery drilling. Methods 45 cases with hypertensive intraeerebral hemorrhage were treated by minimally invasive cranial surgery drilling. They were divided into two groups. One was the early rehabilitation group （ 21 cases） , the other is single minimally invasive cranial surgery drilling group （24 cases）. Compare the early rehabilitation group with single minimally invasive cranial surgery drilling group using NIHSS score and Barthel score. Results There was significant difference of NIHSS seore be- tween two groups on the 15th day （ P 〈 0.05 ）. There was signifieant difference of Barthel score between the two groups on the 3th month （ P 〈 0.05 ）. There was no re - bleeding and death occurred in two groups. Conclusion The early rehabilitation after minimally invasive cranial surgery drilling may improve the patients＇ activities of daily life.