早期康复干预对改善重型颅脑损伤患者生活能力的影响

Effects of early rehabilitation intervention on living ability of patients with severe traumatic brain injury

目的观察和分析早期康复干预对改善重型颅脑损伤(sTBI)患者生活能力的影响。方法选取98例sTBI患者作为研究对象,根据其接受康复训练的时间分为观察组和对照组。观察组患者48例均在发病1个月内开始接受康复训练;对照组50例均在发病1个月后开始接受康复训练。应用Fugl-Meyer量表、改良巴氏指数(MBI)对2组患者康复治疗前和治疗3个月后的运动功能和日常生活活动能力进行评价和比较。结果在康复治疗前,2组患者的Fugl-Meyer量表评分和BMI评分差异无统计学意义(P>0.05);治疗后,2组患者的Fugl-Meyer量表评分和BMI评分均较治疗前显著上升(P<0.05),且观察组患者的Fugl-Meyer量表评分和BMI评分均显著高于对照组(P<0.05)。结论早期康复治疗可显著改善sTBI患者的肢体运动功能和生活自理能力,有利于改善患者的预后情况。

Objective To observe and analyze of the effects of early rehabilitation intervention on living ability of patients with severe traumatic brain injury （sTBI）.Methods Ninety-eight cases of sTBI patients were selected as the research objects and were divided into the observation group and the control group according to the time of employment of the rehabilitation training. Forty-eight cases were included into the observation group who were treated with rehabilitation training from the time point within 1 month of onset ,while 50 cases were included into the control group who were treated with rehabilitation training from the time point after 1 month of onset. The Fugl-Meyer scale ,modified Barthel Index （MBI） were employed to evaluate and compare the motor functions and the ability of daily living activities of the patients in the two groups before treatment and after 3 months of rehabilitation training.Results Before rehabilitation treatment ,there was no significant differences of the Fugl-Meyer scores and BMI scores of the patients between the two groups （P〉0.05）;after rehabilitation treatment ,the Fugl-Meyer scores and BMI scores of the patients in the two groups increased significantly compared with those before treatment （P〈0.05）. Meanwhile ,the Fugl-Meyer scale scores and BMI scores of patients in the observation group were significantly higher than those of the control group （P〈0.05）.Conclusion The early rehabilitation therapy can significantly improve the motor function of the limbs and the ability of daily living activities of the sTBI patients and improve the prognosis of the patients.