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早期康复训练治疗对老年脑出血患者预后的影响

The Effect of Early Rehabilitative Treatment on the Prognosis of Cerebral Haemorrhage in Elderly Patients

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【作者】 鞠慧莲李子晗夏丽孙维明方芳盛露秋

【Author】 JU Hui-lian1,LI Zi-han1,XIA Li1,SUN Wei-ming1,FANG Fang2,SHENG Lu-qiu1(1 Department of internal medicine of the Dongchang District Hospital of Tonghua City;Jilin,Tonghua,134002,China;2 Department of Radiology,the Fourth Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,150001,China)

【机构】 吉林省通化市东昌区人民医院哈尔滨医科大学附属第四医院

【摘要】 目的:探讨早期康复训练治疗对老年脑出血患者运动功能的影响,评估早期康复治疗对老年脑出血患者的临床应用价值。方法:收集2010年1月~2011年6月在我院接受治疗的脑出血患者86例,并将其随机分为实验组和对照组。实验组患者在脑出血治疗的同时,接受早期运动康复治疗,即按摩康复、主动运动康复、被动运动康复;而对照组患者仅接受脑出血住院治疗。治疗3个月后,计算和比较两组FMA评分及MBI评分评定患者的肢体的运动能力。结果:两组脑出血患者在接受治疗初期,FMA评分及MBI评分比较均无统计学差异(t=-1.206,P>0.05;t=0.902,P>0.05);治疗3个月后,实验组患者FMA的评分以及MBI的评分均明显高于对照组,差异具有显著性(t=-10.742,P<0.01;t=-32.687,P<0.01)。结论:早期康复训练治疗有助于老年脑出血患者运动功能的恢复,对改善其预后有重要的临床意义。

【Abstract】 Objective: To investigate the impact of early rehabilitation therapy on motorfunction of cerebralhaemorrhage in elderly patients and evaluate its clinical significance.Methods: 86 cases of cerebral haemorrhage in elderly patients admitted in our hospital from January 2010 to June 2011 were collected and randomly divided into the experimental group and control group,patients in the experimental group were received early stages of movement rehabilitation during the treatment of cerebral hemorrhage,including massage rehabilitation,active movement rehabilitation,and passive exercise rehabilitation;patients in the control group were simply received clinic treatment of cerebral hemorrhage.The FMA score and MBI score were calculated and compared 3 months after treatment.Results: At the beginning of treatment,no significant difference of FMA score and MBI score was observed between the two groups(t=-1.206,P>0.05;t=0.902,P>0.05).3 months after treatment,the FMA score and MBI score in the experimental group were both significantly higher than those in the control group(t=-10.742,P <0.01;t=-32.687,P<0.01).Conclusion: Early rehabilitation training in the treatment of elderly patients with cerebral hemorrhage could promote the recovery of motor function,and had a great importance to the prognosis of cerebral haemorrhage in elderly patients.

【基金】 中国国家级博士后面上基金项目(20100471019);吉林省卫生厅科研课题项目(2009143)
  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2012年34期
  • 【分类号】R743.3
  • 【被引频次】1
  • 【下载频次】40
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