早期康复治疗脑出血微创术后患者的效果观察

Effect of early rehabilitation therapy for patients with cerebral hemorrhage after minimally invasive surgery

目的观察脑出血微创术后患者早期康复治疗效果。方法选取2022-05—2023-05北京市和平里医院收治的脑出血微创术后患者102例,随机分为2组各51例。对照组采用常规训练,研究组采用早期康复治疗,对比2组患者干预前后的生活质量、运动功能、日常生活能力、神经功能、认知功能、心理状态评分以及治疗效果和并发症发生率。结果研究组干预后ADL、FMA、SF-36评分均较对照组高(P<0.05)。研究组干预后MMSE评分较对照组高,NIHSS评分较对照组低(P<0.05)。研究组干预后抑郁、焦虑评分较对照组低(P<0.05),有效率较对照组高,并发症发生率较对照组低(P<0.05)。结论脑出血微创术后患者采取早期康复治疗,可降低并发症的发生率,减轻神经功能缺损,提高临床疗效,改善患者负性心理状态和认知功能,提高日常生活能力和运动功能。

Objective To explore the effect of early rehabilitation treatment for patients with cerebral hemorrhage after minimally invasive surgery.Methods A total of 102 patients with cerebral hemorrhage who underwent minimally invasive surgery in Beijing Hepingli Hospital from May 2022 to May 2023 were randomly divided into two groups with 51 cases in each group.The control group was treated with routine rehabilitation treatment,and the study group was treated with early rehabilitation treatment.The quality of life,motor function,daily living ability,neurological function,cognitive function,psychological status score,treatment effect and complication rate were compared between the two groups before and after intervention.Results The scores of ADL,FMA and SF-36 in the study group were higher than those in the control group after intervention(P<0.05).MMSE score in the study group was higher than that of the control group,NIHSS score was lower than that of the control group after intervention(P<0.05).The depression and anxiety scores of the study group were lower than those of the control group after intervention(P<0.05).The effective rate and complication rate of the study group were higher than those of the control group(P<0.05).Conclusion The early rehabilitation therapy for patients with cerebral hemorrhage after minimally invasive surgery can not only reduce the incidence of complications and neurological defects,improve clinical efficacy and cognitive function,but also improve their negative psychological state,improve their daily living ability and motor function,and play a positive role in promoting the improvement of quality of life.