《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (03): 134-135.

• 专题研究 • 上一篇    下一篇

脑出血神经内镜下血肿清除术后早期康复治疗

聂海岭; 李朝武; 涂明义; 成勇   

  1. 解放军第161中心医院神经内科 湖北武汉市 430010
  • 收稿日期:2002-11-22 出版日期:2003-03-25 发布日期:2003-03-25

Early rehabilitation of cerebral hemorrhage elimination with neuroendoscope

NIE Hai-ling,LI Chao-wu,TU Ming-yi,et al   

  1. Department of Neurology,the PLA 161th Central Hospital,Wuhan 430010,China
  • Received:2002-11-22 Published:2003-03-25 Online:2003-03-25

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摘要： 目的观察脑出血神经内镜下血肿清除术后早期康复治疗对临床神经功能缺损评分、肢体运动功能、日常生活能力的影响。方法31例患者在脑出血神经内镜下血肿清除后,随机分为康复组(16例)和对照组(15例),康复组在患者生命体征稳定48小时后对康复组进行早期康复治疗,对照组接受常规神经内科治疗。康复前后进行临床神经功能缺损评分、改良Fugl Meyer评分、Bathel指数评定。结果康复组临床神经功能缺损评分、改良Fugl Meyer评分、Bathel指数评分均优于对照组(P<0.05)。结论神经内镜下血肿清除后,早期康复治疗可以降低临床神经功能缺损程度、改善肢体运动功能和日常生活能力,降低致残率,提高患者的生存质量。

关键词: 脑出血, 早期康复, 神经内窥镜, 血肿清除术

Abstract: ObjectiveTo observe the effect of early rehabilitation on the clinical neurodefect score,limb movement ability,ability of daily living(ADL)after intracerebral hematoma eliminated by neuroendoscope.Methods31 cases after intracerebral hematoma eliminated by neuroendoscope were randomly divided into two groups:rehabilitation group(16 cases) and control group(15 cases).Rehabilitation group were treated with serial rehabilitation programs after the patients' living sign had been stable over 48 hours.ResultsIn rehabilitation group, the clinical neurodefect score,amended Fugl Meyer assessment score and Bathel index score were better than that in control(P<0.05).ConclusionsEarly rehabilitation after intracerebral hematoma eliminated by neuroendoscope can reduce neurodefect degree and disability rates,improve limbs movement ability and ADL.

Key words: cerebral hemorrhage, early rehabilitation, neuroendscope, hematoma elimination