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目的探讨早期康复治疗对重型颅脑损伤患者预后的影响。方法选择2011年6月—2012年6月收治的重型颅脑损伤患者104例,根据康复治疗的不同时间分为早期康复治疗组(A组)51例和非早期康复治疗组(B组)53例。两组均给予常规治疗。A组在生命体征平稳、病情稳定48 h内实施康复治疗;B组在生命体征平稳、病情稳定48 h后实施康复治疗。康复治疗3个月后,比较两组患者的日常生活活动(activities ofdaily living,ADL)能力和预后情况。结果康复治疗3个月后Barthel指数A组66.67±8.54,B组57.46±9.32;恢复良好和轻残率A组68.63%,B组37.73%;死亡和植物生存率A组13.72%,B组32.08%。两组比较差异均有统计学意义(均P<0.05)。结论在重型颅脑损伤治疗中,早期康复治疗可以显著促进患者神经功能恢复,从而改善预后、提高患者的生存质量。
Objective To investigate the effect of early rehabilitation on the prognosis of patients with severe craniocerebral injury. Methods A total of 104 patients with severe craniocerebral injury who were admitted to our hospital from June 2011 to June 2012 were divided into two groups: early rehabilitation group (51 cases) and non-early rehabilitation group (group B) example. Both groups were given routine treatment. In group A, rehabilitation treatment was performed within 48 hours of stable vital signs and in stable condition. In group B, rehabilitation treatment was carried out after stable vital signs and stable condition for 48 hours. Three months after rehabilitation, the activities and daily living activities (ADL) ability and prognosis of the two groups were compared. Results After 3 months of rehabilitation, the Barthel index was 66.67 ± 8.54 in group A and 57.46 ± 9.32 in group B. The recovering rate was 68.63% in group A and 37.73% in group B. The mortality and plant survival rate was 13.72% in group A and 32.08 in group B %. The differences between the two groups were statistically significant (P <0.05). Conclusion In the treatment of severe craniocerebral injury, early rehabilitation can significantly promote the recovery of neurological function, improve the prognosis and improve the quality of life of patients.