中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
17期
2622-2624
,共3页
脑出血%康复%磷酸丙酮酸水合酶
腦齣血%康複%燐痠丙酮痠水閤酶
뇌출혈%강복%린산병동산수합매
Cerebral hemorrhage%Rehabilitation%Phosphopyruvate hydratase
目的：探讨早期康复对脑出血患者神经功能转归以及血清神经元烯醇化酶（NSE ）的影响。方法将82例脑出血患者按是否进行康复分为康复组（52例）及和普通组30例，康复组又按康复时间分为早期康复组26例及中期康复组26例，早期康复组于治疗稳定15 d内尽早实施系统康复方案，中期康复组于15 d后实施康复，普通组常规治疗无康复训练。对比三组患者神经功能缺损评分、Barthel指数、血清NSE水平。结果6个月时早期康复组MESSS评分（12．74±4．77）分，与普通组、中期康复组差异均有统计学意义（t＝18．495，P＝0．001；t＝8．867，P＝0．003）；6个月时早期康复组BI评分（78．32±8．44）分，与普通组、中期康复组差异均有统计学意义（t＝16．231，P＝0．002；t＝7．428，P＝0．002）；早期康复组14 d NSE含量为（12．11±1．96）μg／L，优于普通组及中期康复组，差异均有统计学意义（t＝6．886，P＝0．004；t＝6．728，P＝0．004）；早期康复组1个月NSE含量为（10．43±2．15）μg／L，优于普通组及中期康复组，差异均有统计学意义（t＝9．562， P＝0．003；t＝9．793，P＝0．003）。结论脑出血患者实施早期康复训练有利于患者恢复，且安全性高，值得临床推广应用。
目的：探討早期康複對腦齣血患者神經功能轉歸以及血清神經元烯醇化酶（NSE ）的影響。方法將82例腦齣血患者按是否進行康複分為康複組（52例）及和普通組30例，康複組又按康複時間分為早期康複組26例及中期康複組26例，早期康複組于治療穩定15 d內儘早實施繫統康複方案，中期康複組于15 d後實施康複，普通組常規治療無康複訓練。對比三組患者神經功能缺損評分、Barthel指數、血清NSE水平。結果6箇月時早期康複組MESSS評分（12．74±4．77）分，與普通組、中期康複組差異均有統計學意義（t＝18．495，P＝0．001；t＝8．867，P＝0．003）；6箇月時早期康複組BI評分（78．32±8．44）分，與普通組、中期康複組差異均有統計學意義（t＝16．231，P＝0．002；t＝7．428，P＝0．002）；早期康複組14 d NSE含量為（12．11±1．96）μg／L，優于普通組及中期康複組，差異均有統計學意義（t＝6．886，P＝0．004；t＝6．728，P＝0．004）；早期康複組1箇月NSE含量為（10．43±2．15）μg／L，優于普通組及中期康複組，差異均有統計學意義（t＝9．562， P＝0．003；t＝9．793，P＝0．003）。結論腦齣血患者實施早期康複訓練有利于患者恢複，且安全性高，值得臨床推廣應用。
목적：탐토조기강복대뇌출혈환자신경공능전귀이급혈청신경원희순화매（NSE ）적영향。방법장82례뇌출혈환자안시부진행강복분위강복조（52례）급화보통조30례，강복조우안강복시간분위조기강복조26례급중기강복조26례，조기강복조우치료은정15 d내진조실시계통강복방안，중기강복조우15 d후실시강복，보통조상규치료무강복훈련。대비삼조환자신경공능결손평분、Barthel지수、혈청NSE수평。결과6개월시조기강복조MESSS평분（12．74±4．77）분，여보통조、중기강복조차이균유통계학의의（t＝18．495，P＝0．001；t＝8．867，P＝0．003）；6개월시조기강복조BI평분（78．32±8．44）분，여보통조、중기강복조차이균유통계학의의（t＝16．231，P＝0．002；t＝7．428，P＝0．002）；조기강복조14 d NSE함량위（12．11±1．96）μg／L，우우보통조급중기강복조，차이균유통계학의의（t＝6．886，P＝0．004；t＝6．728，P＝0．004）；조기강복조1개월NSE함량위（10．43±2．15）μg／L，우우보통조급중기강복조，차이균유통계학의의（t＝9．562， P＝0．003；t＝9．793，P＝0．003）。결론뇌출혈환자실시조기강복훈련유리우환자회복，차안전성고，치득림상추엄응용。
Objective To evaluate the influence of early rehabilitation for cerebral hemorrhage patients on neurology and serum neuron-specific enolase.Methods 82 cerebral hemorrhage patients were selected,30 patients without rehabilitation were set as the normal group,26 patients treated with early rehabilitation were set as the early rehabilitation group,and the other 26 patients with on-early rehabilitation were set as the normal early rehabilitation group.Neurological function,Barthel score and NSE score were compared in three groups.Results At 6 months, MESSS score of early rehabilitation group was (12.74 ±4.77)points,which were better than those of the other two groups (t=18.495,P=0.001;t=8.867.P=0.003);BI score was (78.32 ±8.44)points,which were better than those of the other two groups (t=16.231,P=0.002;t=7.428,P=0.002).At the 14th day,NSE of early rehabilita-tion group was (12.11 ±1.96)μg/L,which were better than those of the other two groups (t=6.886,P=0.004;t=6.728,P=0.004).At the first month,NSE of early rehabilitation group was (10.43 ±2.15 )μg/L,which were better than those of the other two groups (t=9.562,P=0.003;t=9.793,P=0.003).Conclusion Early rehabili-tation is helpful for cerebral hemorrhage patients to improve neurological function with good safety performance,so it can be applied in clinical treatment.
