ICU脑出血非手术治疗患者早期康复治疗的安全性及疗效评估

Safety and Efficacy Assessment of Early Rehabilitation Treatment for Cerebral Hemorrhage Patients with Nonsurgical Treatment in ICU

目的:探讨在重症监护室(ICU)对脑出血非手术治疗患者实施早期康复的安全性及治疗效果。方法:选择本院ICU病房2012年6月-2014年6月脑出血住院的患者83例作为研究对象,采用随机数字表法将其分为治疗组42例、对照组41例。治疗组患者进行早期康复治疗,对照组患者采取常规治疗,比较两组治疗前后神经功能缺损程度及日常生活自理能力的恢复情况。结果:治疗组实施早期康复治疗后,临床神经功能缺损评分较治疗前及对照组均显著降低,Barthel指数评分较治疗前明显提高且显著高于对照组,以上指标比较差异均有统计学意义(P<0.001);治疗组的基本生活活动能力恢复较快,治疗第14天有28例(66.67%)患者达到生活基本自理,20例(47.61%)能独立步行。结论:早期康复治疗能明显改善脑出血非手术治疗患者的基本生活能力,重症康复必须有专业的康复团队,由专业康复治疗师负责执行早期康复治疗对重症患者是安全有效的。

Objective：To investigate the safety and therapeutic effect of early rehabilitation treatment for cerebral hemorrhage patients with non-surgical treatment in intensive care unit（ICU）.Method：Eighty-three cerebral hemorrhage patients with non-surgical treatment in our hospital from June 2012 to June 2014 were selected and randomly divided into treatment group with forty-two cases and control group with forty-one cases.The treatment group was treated with early rehabilitation measure,the control group was given conventional treatment.The recovery situation of neurological deficits and daily life ability were compared between the two groups before and after treatment.Result：After treatment,the clinical neurological deficit scores of the treatment group were significantly lower than before treatment and significantly lower than those of the control group（P〈0.001）.Barthel index scores of the treatment group were significantly higher than before treatment and significantly higher than those of the control group,the differences were statistically significant（P〈0.001）.In the treatment group,the basic life activities of the patients recovered rapidly,twenty-eight patients（66.67%） achieved basic self-care living after fourteen days of treatment,twenty patients（47.61%） could walk independently.Conclusion：Early rehabilitation treatment can significantly improve basic life skills of cerebral hemorrhage patients with non-surgical treatment.Intensive rehabilitation must have professional rehabilitation team,early rehabilitation treatment conducted by professional therapists is safe and effective for intensive patients.