高血压性脑出血患者术后康复治疗效果分析

The postoperative rehabilitation can improve the curative effects in patients with hypertensive cerebral hemorrhage

目的：探讨高血压性脑出血患者术后康复治疗对运动功能（FMA）和生活能力（APL）恢复效果.方法：对70例高血压性脑出血术后,随机分为治疗组和对照组.治疗组在常规药物治疗基础上,根据患者情况适时康复治疗.对照组只行常规药物治疗.治疗于第30天结束后进行Fugl-Meyer运动功能量表（FMA）测试运动功能和Barthel指数量表（APL）测试生活能力.结果：治疗组FMA、APL明显优于对照组;肩手综合征、足内翻、足下垂及肺部感染等合并症明显减少（P〈0.05）.结论：高血压性脑出血患者术后康复治疗能明显改善肢体运动功能和日常生活活动能力,具有良好的促进作用.

Objective：To investigate whether the postoperative rehabilitation could improve the FMA scores and Barthel index of postoperative patients with hypertensive cerebral hemorrhage. Methods： A case-control study was performed in 70 postoperative patients with hypertensive cerebral hemorrhage. These subjects were divided into two groups randomly. All patients were administrated with routine medication. On the basis of routine therapy,the treatment group was added reasonable postoperative rehabilitation. After 30d treatment,the FMA scores and Barthel index were meas- ured in the two groups. Result： The FMA scores and Barthel index were higher in the treatment group than that in the controls. Furthermore, the complications, such as shoulder--hand syndrome, strephenopodia, footdrop, and pulmonary infection, were reduced （P〈0.05）. Conclusion： The post- operative rehabilitation can improve the motor functions and the capability of daily life in patients with hypertensive cerebral hemorrhage.