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目的探讨神经外科重症患者肢体功能康复的时机与重要性。方法选择我院2015年12月~2016年12月收治的神经外科重症患者40例,对其应用简式(Fugl-Meyer)运动量表行运动功能评定,从患者入院第1天起为其设计良肢体位,当患者生命体征基本稳定对其进行患肢按摩、进行肢体的主动和被动运动训练。结果通过2个月的综合康复治疗后,患者中除了2例患者因为原发疾病于24 h恶化(24 h内死亡)外,其余38例患者均通过配合早期的康复训练,明显提高与改善GCS、FMA评分。结论对神经外科重症患者应用早期的康复训练,可以使患者肢体功能获得很大程度的恢复,此方法值得推广。
Objective To explore the timing and importance of limb functional rehabilitation in severe neurosurgical patients. Methods Forty patients with severe neurosurgery from December 2015 to December 2016 in our hospital were enrolled in this study. The motor function of Fugl-Meyer exercise scale was evaluated. The first day after admission, Physical position, when the patient’s vital signs were basically stable limb massage, limb active and passive exercise training. Results After 2 months of comprehensive rehabilitation, except for 2 patients who had advanced disease within 24 h (24 h), the remaining 38 patients were treated with early rehabilitation training to significantly improve and improve GCS , FMA score. Conclusion The application of early rehabilitation training to patients with severe neurosurgery can make the patients’ limb function recover to a great extent. This method is worthy of popularization.