不同康复介入时机对老年脑出血患者运动功能及神经功能的影响

Effect of different time of rehabilitation intervention on motor function and nerve function in elderly patients with cerebral hemorrhage

目的探讨不同康复介入时机对老年脑出血患者运动功能及神经功能的影响。方法将107例老年脑出血患者随机分为早期组(54例)和对照组(53例),分别于术后3 d、3周开始康复介入治疗。比较两组康复介入效果。结果康复治疗后,两组的FMA评分均升高,NIHSS评分均降低,且早期组优于对照组(P<0.05)。早期组压疮、肩手综合征及肺部感染发生率均低于对照组(P<0.05)。结论老年脑出血患者术后早期进行康复介入治疗可有效恢复神经功能及运动功能,减少术后并发症。

Objective To investigate the effect of different time of rehabilitation intervention on motor function and nerve function in elderly patients with cerebral hemorrhage. Methods A total of 107 elderly patients with cerebral hemorrhage were randomly divided into early group(54 cases) and control group(53 cases). The two groups started rehabilitation intervention treatment at 3 days and 3 weeks after operation respectively. The rehabilitation treatment effects were compared between the two groups. Results After rehabilitation treatment, the FMA scores of the two groups increased, the NIHSS scores decreased, and those in the early group were better than the control group(P <0.05). The incidences of pressure sore, shoulder hand syndrome and pulmonary infection in the early group were lower than those in the control group(P<0.05). Conclusion Early rehabilitation intervention treatment for elderly patients with cerebral hemorrhage can effectively restore nerve function and motor function, and reduce postoperative complications.