高血压脑出血术后患者早期康复干预疗效观察.docVIP

高血压脑出血术后患者早期康复干预疗效观察 　　【中图分类号】R473.74【文献标识码】A【文章编号】1005-2720(2010)10 - 12 - 02 　　【摘要】目的 观察早期康复干预对高血压脑出血术后患者的神经功能的效果。方法 选择高血压脑出血术后患者68例,随机分为康复组与对照组,每组各34例,康复组按常规治疗和护理的同时,术后病情稳定即开始肢体功能康复干预;对照组行常规护理及随意自我锻炼,两组分别在术后第1天和术后30天行肌力测定和Barthel指数评分。结果 康复组术后30天行肌力和Barthel指数评分明显高于对照组,具有显著性差异(P0.01)。结论 早期康复干预高血压脑出血术后患者有利于患者肢体功能恢复和改善日常生活能力。 　　【关键词】脑出血;康复;治疗 　　Hypertensive cerebral hemorrhage in patients with early rehabilitation intervention efficacy 　　Li Ling 　　(The first Peoples Hospital of operating room,Yueyang City,Hunan Yueyang414000) 　　【Abstract】Objective Observe the neutrological effects of early rehabilitation intervention to hypertension patients with cerebral hemorrhage.Methods 68 hypertension patients with cerebral hemorrhage were divided into the rehabilitation group and the comparable group, each of them is 34 cases. The rehabilitation group was treated as conventional treatment and care, at the same time, after a stable condition followed with physical functional rehabilitation intervention. Meanwhile, the comparable group did conventional and self-care and free exercise, two groups were checked strength and barthel index score after the first day and 30 days. Results The strength and barthel index score of the rehabilitation group is significantly higher than the comparable group. It appears significant difference.( P0.01). Conclusion Early rehabilitation intervention is benefit for recover of limb function and improvement of daily living to hypertension patients with cerebral hemorrhage. 　　【Key Words】Cerebral Hemorrhage;Rehabilitation;Treatment 　　 　　高血压脑出血是中老年的常见病和多发病,随着社会的老龄化,发病率呈逐年上升趋势,而其高发病率、高死亡率和高致残率仍是当代医学面临的重大课题。近年来,多数学者主张在发病后,应尽早进行康复治疗,最大限度地促进功能恢复,减轻残疾[1]。我院康复科自2003年6月致2007年12月对68例高血压脑出血患者中34例进行早期康复干预,取得明显效果,现报道如下。 　　1 对象与方法 　　1.1 对象选择2004年6月至2008年12月我院高血压脑出血术后患者68例,均经头部CT及手术中明确诊断,除外伴有心肌梗死和有认知功能障碍者。 　　1.2 方法 　　1.2.1 分组方法所有患者随机分为康复组与对照组,每组各34例。治疗组:男20例,女14例;平均年龄岁。对照组:男61.2例,女11例;平均年龄62.5岁。两组患者在入院时年龄、性别、神志、肌力及ADL评分等一般情况经统计学分析差异无显著性意义(P0.05),具有可比性