早期综合康复治疗应用于脑外伤偏瘫患者治疗中的价值分析.docVIP

早期综合康复治疗应用于脑外伤偏瘫患者治疗中的价值分析 　　[摘要] 目的 研究早期综合康复治疗应用于脑外伤偏瘫患者治疗中的价值。方法 整群选取该院2014年1月―2015年5月收治的88例脑外伤偏瘫患者，抽签随机分为对照组和观察组各44例。对照组在病情稳定后4周给予综合康复训练，观察组在病情稳定后1周内给予综合康复训练，均持续2个月。观察两组日常活动能力和神经功能缺损评分变化。结果观察组日常活动能力（70.1±13.2）分较对照组（62.4±12.7）分明显较高，神经功能缺损程度（8.1±5.2）分较对照组（11.6±7.5）分显著降低，差异有统计学意义（P中国论文网 /6/view-7248805.htm 　　[关键词] 脑外伤偏瘫；早期；综合康复 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0056-02 　　Value Analysis of Early Comprehensive Rehabilitation Treatment for Patients with Traumatic Cerebral Hemiplegia 　　HUANG Cai-shu 　　Neurosurgery， Nanping Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Nanping， Fujian Province， 353000 China 　　[Abstract] Objective To research the value of early comprehensive rehabilitation treatment for patients with traumatic cerebral hemiplegia. Methods 88 cases of patients with traumatic cerebral hemiplegia treated in our hospital from January 2014 to May 2015 were selected and randomly divided into two groups with 44 cases in each， the control group were treated with comprehensive rehabilitation train at 4 weeks after the patient’s condition was stable， the observation group were treated with comprehensive rehabilitation train at 1 weeks after the patients condition was stable， both groups were treated for two months continuously， the daily living activity and changes of nerve function impairment score of the two groups were observed. Results The daily living activity score in the observation group was obviously higher than that in the control group，（70.1±13.2）marks vs（62.4±12.7）marks， the nerve function impairment degree score was obviously decreased compared with that in the control group，（8.1±5.2）marks vs（11.6±7.5）marks， both differences were statistically significant（P 　　1.2 方法 　　1.2.1 两组患者均接受高压氧和抗凝、抗血小板聚集等常规药物治疗，对照组于病情稳定4周后给予综合康复治疗，观察组在病情稳定早期1周内给予综合康复治疗。 　　1.2.2 综合康复治疗 ①药物维持：继续维持高压氧和抗凝、抗血小板聚集、营养脑神经等常规药物治疗。②体位训练：帮助患者进行体位纠正训练，可通过对患肢按摩、穴位针刺活动各关节，鼓励患者进行被、主动训练，用拄拐帮助行走、纠正内撇、弯曲等不正常体位，指导患者进行正常翻身、坐立特别是患侧的运动协调性，如