脑出血血肿与肢体运动功能的关系

The relationship of motor recovery between hemorrage

目的探讨脑出血部位及血肿大小对肢体运动功能恢复的影响。方法67例脑出血患者对肢体功能、ADL能力进行动态观察。结果(1)混合型及影响顶叶的脑叶出血患者上肢、手的功能较下肢差。(2)内外侧型及除顶叶外的脑叶出血，肢体功能恢复良好，生活完全自理。(3)脑出血患者肢体功能恢复过程中，可直接从BrunnstromⅠ期进入Ⅳ～Ⅵ期。结论脑出血血肿部位，有助于判断患者运动功能及ADL的预后，肢体功能恢复过程并不完全遵循Brunnstrom6阶段。

Objective The size and location of hemorrhage affecting the prognosis of motor functional recovery were explored.Method 67 patients attacked by cerebral hemorrhage were observed for podosoma function and daily life dynamically and periodically.Result (1)In patients with mixed type and parietal lobe,the motor functional recovery was unfavorable.(2)The good recovery of motor function in limbs was found in patients with medial－outer－side type and patients with lobar hemorrhage but parietal lobe.(3)The recovery of motor function was from Brunnstrom Ⅰto BrunnstromⅣ－Ⅵdirectly.Conclusion The hemorrhagic location are helpful to predict the recovery of ADL and motor function in the future,the recovery of motor function is not in accordance with 6 stages in Brunstrom.