高血压脑出血微创穿刺引流术后早期康复治疗的临床研究

Clinical Study on Early Rehabilitation after Minimally Invasive Puncture and Drainage for Hypertensive Cerebral Hemorrhage

目的观察微创穿刺引流术联合早期康复治疗对高血压脑出血患者的治疗效果。方法选取2017年9月至2019年9月泰州市人民医院收治的92例高血压脑出血实施微创穿刺引流手术患者,采用抽签法分为对照组与试验组,各46例。对照组采取晚期康复治疗,试验组采取早期康复治疗,对比2组患者治疗效果及手术前后斯堪的那维亚卒中量表(SSS)评分、日常生活活动(ADL)评分、简式运动功能(FM)评分。结果试验组患者治疗总有效率97.83%,明显高于对照组(71.74%,P<0.05);治疗1个月后,试验组患者SSS、ADL及FM评分明显高于对照组(P<0.05)。结论微创穿刺引流术后早期康复可提高高血压脑出血患者生存质量,快速恢复身体机能,且疗效显著。

Objective To observe the therapeutic effect of minimally invasive puncture and drainage combined with early rehabilitation in patients with hypertensive intracerebral hemorrhage.Methods From September 2017 to September 2019,Totally 92 patients with hypertensive cerebral hemorrhage admitted to Taizhou People's Hospital were included and randomLy divided into two groups:the control group and the experimental group,46 cases in each group.The control group was treated with late rehabilitation,and the experimental group was treated with early rehabilitation.The therapeutic effects of the two groups were compared,and the Scandinavian Stroke Scale(SSS)score,daily living activity(ADL)score and simple motor function(FM)score before and after operation were compared.Results The total effective rate of the patients in the experimental group was 97.83%,which was significantly higher than that in the reference group(71.74%,P<0.05);after 1 month of treatment,the scores of SSS,ADL and FM in the experimental group were significantly higher than that in the reference group(P<0.05).Conclusion Early rehabilitation after minimally invasive puncture and drainage can improve the quality of life of patients with hypertensive intracerebral hemorrhage and quickly restore the body function.