文章摘要
张月华,杨欣刚,沈君,林婉清,沈妹,滕灵方,赵金龙.早期综合康复训练对脑出血患者术后肢体功能及日常活动能力的影响[J].中国临床保健杂志,2019,22(2):255-257.
早期综合康复训练对脑出血患者术后肢体功能及日常活动能力的影响
Effect of early comprehensive rehabilitation training on postoperative limb function and daily activities of patients with cerebral hemorrhage
投稿时间:2018-12-10  
DOI:10.3969/J.issn.1672-6790.2019.02.028
中文关键词: 运动疗法  脑出血  功能恢复  日常生活活动
英文关键词: Exercise therapy  Cerebral hemorrhage  Recovery of function  Activities of daily living 〖FL
基金项目:浙江省医药卫生科技计划项目资助(2018KY806)
作者单位E-mail
张月华 武警浙江省总队医院外二科,嘉兴 314000 zjyyhr2016@163.com 
杨欣刚 武警浙江省总队医院外二科,嘉兴 314000  
沈君 武警浙江省总队医院外二科,嘉兴 314000  
林婉清 武警浙江省总队医院外二科,嘉兴 314000  
沈妹 武警浙江省总队医院外二科,嘉兴 314000  
滕灵方 浙江温岭市第一人民医院外二科  
赵金龙 武警浙江省总队医院  
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中文摘要:
      目的 探讨早期综合康复训练对脑出血患者术后肢体功能恢复及日常生活能力的作用效果。 方法 选取180例脑出血手术患者,按照随机数字表法将其分为观察组和对照组各90例。对照组应用常规康复训练,观察组应用早期综合康复训练。比较两组患者干预前后神经功能(欧洲卒中评分量表)、肢体功能(简式Fugl-Meye)、日常活动能力评分(Barthel指数)、住院时间及并发症发生情况。 结果 干预前,两组患者神经功能、肢体功能及日常活动能力评分差异均无统计学意义(P>0.05);干预后,两组患者神经功能、肢体功能及日常活动能力评分均有所提升,但观察组各项评分均高于对照组(P<0.05);观察组患者住院时间短与对照组,且观察组患者护理期间并发症发生率为3.3%,明显低于对照组的13.3%,P<0.05。 结论 早期综合康复训练可有效改善脑出血患者术后肢体功能、神经功能,提高患者生活质量,有效降低患者并发症的发生率。
英文摘要:
      Objective To investigate the effect of early comprehensive rehabilitation training on postoperative limb function recovery and daily living ability in patients with cerebral hemorrhage. Methods A total of 180 patients with cerebral hemorrhage were selected and divided into observation group and control group according to random number table,90 cases in each group.The observation group applied routine rehabilitation training,and the observation group applied early comprehensive rehabilitation training.Neurological function (European Stroke Scale,ESS),limb function (Fuley-Meye),daily activity ability score (Barthel Index),length of hospital stay,and complications were compared between the two groups. Results Before the intervention,there were no significant difference in the scores of nerve function,limb function and daily activity ability between the two groups (P>0.05);after the intervention,the scores of nerve function,limb function and daily activity ability of the two groups were improved,but the scores of the observation group were higher than those of the control group (P<0.05),the hospitalization time of the observation group was shorter than that of the control group,and the rate of complications of in the observation group (3.3%) was much lower than that of the control group (13.3%,P<0.05). Conclusion Early comprehensive rehabilitation training can effectively improve the postoperative limb function and nerve function of patients with cerebral hemorrhage,improve the quality of life of patients,and effectively reduce the incidence of complications.
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