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目的探讨早期康复治疗对高血压脑出血手术患者术后功能恢复的影响。方法将68例高血压脑出血术后、GCS>8分的患者随机分为早期康复组和对照组,每组34例,除进行常规的药物治疗外,早期康复组在术后24~72h病情稳定的情况下开始早期康复程序,对照组仅进行未经指导的自我锻炼。两组患者手术后康复治疗前、治疗后1个月和2个月均由同一医师进行运动功能评定(Fugl-Mey-er评定法,FM积分)和日常生活活动能力(ADL)评定(FIM评定法)。结果两组患者手术后1个月和2个月FM、FIM评分均明显升高。数据经统计学分析处理,结果显示手术后康复治疗前两组的FM、FIM评分无统计学意义(P>0·05),手术治疗后1个月、2个月两组的FM、FIM评分差异有统计学意义(P=0·000,0·000,0·001,0·000)(见表1)。结论早期规范的康复治疗可以提高高血压脑出血术后患者的日常生活能力和肢体运动功能。
Objective To investigate the effect of early rehabilitation on postoperative functional recovery in hypertensive intracerebral hemorrhage patients. Methods 68 patients with hypertensive intracerebral hemorrhage after surgery, GCS> 8 points were randomly divided into early rehabilitation group and control group, 34 cases in each group, except for conventional drug treatment, early rehabilitation group in 24 ~ 72h after surgery An early rehabilitation program was started in a stable situation, while the control group only conducted selfless exercises without guidance. Both groups were assessed by the same physician for assessment of motor function (Fugl-Mey-er score, FM score) and daily living activity (ADL) at 1 month and 2 months after surgery (FIM score law). Results The FM and FIM scores of the two groups were significantly increased at 1 month and 2 months after operation. The data were analyzed by statistical analysis. The results showed that there was no significant difference in FM and FIM scores between the two groups before and after rehabilitation (P> 0.05), FM and FIM scores at 1 and 2 months after operation The difference was statistically significant (P = 0.000, 0.000, 0.001, 0.000) (Table 1). Conclusion Early standardized rehabilitation treatment can improve daily living ability and limb motor function in patients with hypertensive intracerebral hemorrhage.