早期躯体及心理康复治疗对脑出血后运动障和生活能力功能恢复影响.docVIP

早期躯体及心理康复治疗对脑出血后运动障和生活能力功能恢复影响 　　【摘要】 目的探讨急性脑出血患者早期躯体与心理康复治疗对运动功能障碍及生活能力的影响。方法 70例急性脑出血患者随机分为基础治疗组与基础治疗加早期康复组,于入院及入院4周时分别进行神经功能缺损程度测评以及日常生活能力的评定,组内及组间对比。结果 两组患者在生活能力和运动功能方面均有显著差异(P0.01),基础治疗加早期康复组改善明显。结论 早期躯体与心理康复训练对急性脑出血患者在促进肢体运动功能恢复及提高日常生活能力方面显著优于单纯药物治疗。采取的康复方法简便有效。 　　【关键词】 运动障碍;躯体康复;心理康复;脑出血 　　 　　The influence of early rehabilitation of body and psychology on motor disorder and life ability after cerebral hemorrhage 　　 　　SHI Li-jin, XING Hong-xia, LI Jie, et al.Department of Neurology, the First Affiliated Hospital of Henan Xinxiang Medical University, XinXiang 453100, China 　　 　　【Abstract】 Objective To assess the influence of early rehabilitation to body and psychology on motor disorder and life ability after cerebral hemorrhage. Methods 70 cases of cerebral hemorrhage were randomly divided into two groups. One group received basic therapy. Except for basic therapy, early motor rehabilitation and education of life ability were used in the other group. The damnification of nerval function and life ability were estimated when patients entered the hospital and after 4 weeks. Datas were contrasted in group and between groups.ResultsThe two groups had remarkable differences in life ability and motor function (P0.01). The improve of the rehabilitation group was very evidence.Conclusions Early rehabilitation of body and psychology is much better than that of single medicine therapy in the improvement of motor function and life ability. Methods in our hospital are very simple and effective. 　　【Key words】 Motor disorder;Physical prophylaxis;Psychological rehabilitation;Cerebral hemorrhage 　　 　　作者单位:453100新乡医学院第一附属医院神经内一科 　　 　　据我国流行病学调查,脑血管意外的发病率200/100万,新发脑血管意外病例150万,每年死于脑血管意外约130万,存活者75%,5年内复发率高达41%。急性脑出血致死、致残率高,对于脑出血本身的治疗,如脱水降颅压等对抢救生命、预防并发症、阻止病情进展有良好的效果,但对于肢体功能的恢复、生活质量的提高效果较慢。本研究对40例急性脑出血患者进行早期运动康复与生活能力的训练,与30例基础治疗组比较,探讨早期躯体与心理康复对患者功能恢复的影响。 　　1 资料与方法 　　1.1 一般资料 选择我院2008年12月至2009年8月70例急性脑出血患者,所有病历均经头颅CT检查证实,诊断均符合全国第四次脑血管病学术会议通过的诊断标准[1]。入选病例均为3 d以内首次发病的脑出