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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。
Objective: To investigate the effect of early rehabilitation training on motor function in elderly patients with cerebral hemorrhage and evaluate the clinical value of early rehabilitation in elderly patients with cerebral hemorrhage. Methods: A total of 86 patients with ICH treated in our hospital from January 2010 to June 2011 were collected and randomly divided into experimental group and control group. Patients in the experimental group received early exercise rehabilitation, that is, massage rehabilitation, active exercise rehabilitation and passive exercise rehabilitation while cerebral hemorrhage was treated. Patients in the control group received only hospitalized patients with cerebral hemorrhage. After 3 months of treatment, the FMA score and MBI score of two groups were calculated and compared to evaluate the movement ability of the limbs of the patients. Results: There was no significant difference in FMA score and MBI score between the two groups in the early stage of treatment (t = -1.206, P> 0.05; t = 0.902, P> 0.05) The scores of patients with FMA and MBI were significantly higher than the control group, the difference was significant (t = -10.742, P <0.01; t = -32.687, P <0.01). Conclusion: Early rehabilitation training is helpful to the recovery of motor function in elderly patients with cerebral hemorrhage and has important clinical significance in improving prognosis.