中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
24期
39-41
,共3页
高血压脑出血%立体定向微创术%康复介入时机
高血壓腦齣血%立體定嚮微創術%康複介入時機
고혈압뇌출혈%입체정향미창술%강복개입시궤
Hypertensive intracranial hemorrhage%Stereotactic minimaly invasive treatment%The time of rehabilitation intervention
目的：探讨立体定向微创治疗术后康复介入的时机对老年高血压脑出血患者康复的影响。方法收集实施立体定向微创治疗的老年高血压脑出血患者88例，随机分为早期介入组和晚期介入组，每组44例。早期介入组在实施立体定向手术治疗后早期进行康复介入治疗。晚期介入组在发病后3～4周进行康复介入治疗。观察两组患者的运动功能（FMA）评分、神经功能缺损（ND）评分及日常生活能力（BI）变化情况。结果两组患者康复治疗后1个月的FMA、BI评分高于康复治疗前（P<0.05）；但早期介入组FMA、BI评分高于晚期介入组（P<0.05）。两组患者康复治疗后1个月的ND评分高于康复治疗前（P<0.05）；但早期介入组ND评分高于晚期介入组（P<0.05）。结论综上所述，早期康复介入治疗在提高运动功能评分，降低神经功能缺损，增强日常生活能力方面优于晚期康复介入，因此，对行立体定向微创手术治疗的老年高血压脑出血患者，在术后生命体征稳定后尽早实施康复介入治疗是一个有效的方法。
目的：探討立體定嚮微創治療術後康複介入的時機對老年高血壓腦齣血患者康複的影響。方法收集實施立體定嚮微創治療的老年高血壓腦齣血患者88例，隨機分為早期介入組和晚期介入組，每組44例。早期介入組在實施立體定嚮手術治療後早期進行康複介入治療。晚期介入組在髮病後3～4週進行康複介入治療。觀察兩組患者的運動功能（FMA）評分、神經功能缺損（ND）評分及日常生活能力（BI）變化情況。結果兩組患者康複治療後1箇月的FMA、BI評分高于康複治療前（P<0.05）；但早期介入組FMA、BI評分高于晚期介入組（P<0.05）。兩組患者康複治療後1箇月的ND評分高于康複治療前（P<0.05）；但早期介入組ND評分高于晚期介入組（P<0.05）。結論綜上所述，早期康複介入治療在提高運動功能評分，降低神經功能缺損，增彊日常生活能力方麵優于晚期康複介入，因此，對行立體定嚮微創手術治療的老年高血壓腦齣血患者，在術後生命體徵穩定後儘早實施康複介入治療是一箇有效的方法。
목적：탐토입체정향미창치료술후강복개입적시궤대노년고혈압뇌출혈환자강복적영향。방법수집실시입체정향미창치료적노년고혈압뇌출혈환자88례，수궤분위조기개입조화만기개입조，매조44례。조기개입조재실시입체정향수술치료후조기진행강복개입치료。만기개입조재발병후3～4주진행강복개입치료。관찰량조환자적운동공능（FMA）평분、신경공능결손（ND）평분급일상생활능력（BI）변화정황。결과량조환자강복치료후1개월적FMA、BI평분고우강복치료전（P<0.05）；단조기개입조FMA、BI평분고우만기개입조（P<0.05）。량조환자강복치료후1개월적ND평분고우강복치료전（P<0.05）；단조기개입조ND평분고우만기개입조（P<0.05）。결론종상소술，조기강복개입치료재제고운동공능평분，강저신경공능결손，증강일상생활능력방면우우만기강복개입，인차，대행입체정향미창수술치료적노년고혈압뇌출혈환자，재술후생명체정은정후진조실시강복개입치료시일개유효적방법。
Objective To discuss the time of the stereotactic minimaly invasive in treatment of patients with hypertensive intracranial hemorrhage.Methods 88 elderly patients with hypertensive intracranial hemorrhage were colected implementing stereotactic minimaly invasive treatment and were randomly divided into early intervention group and late intervention group,44 cases in each group. Early rehabilitation intervention treatment were implemented after the implementation of stereotactic surgery for early intervention group,for the late intervention group,rehabilitation therapy was performed after 3 to 4 weeks. Compared two groups of patients with functional(FMA)score,nerve function defect(ND)score and daily life ability(BI)changes. Results For two groups of patients,FMA,BI score after rehabilitation treatment one months was significantly higher than before treatment(P< 0.05), but the FMA,BI score in early intervention group was obviously higher than that of the late intervention group(P< 0.05). ND score of two groups of patients after rehabilitation treatment significantly was better than before rehabilitation treatment(P<0.05),ND score in early intervention group was obviously higher than that of the late intervention group(P< 0.05).ConclusionTo sum up,the early rehabilitation intervention in improving motor function score,reducing nerve function defect,enhancing ability in daily life was better than late rehabilitation intervention. Therefore,for elderly patients with hypertensive intracranial hemorrhage with stereotactic minimaly invasive surgical,early postoperative rehabilitation intervention was an effective method.
