摘要
目的浅析重症颅内损伤患者采用早期康复治疗的效果.方法选取2019年1月—2020年1月该院收治的80例重症颅内损伤患者为研究对象,按随机数字表法分成两组,每组40例.对照组采用常规治疗,观察组采用早期康复治疗.比较两组的格拉斯哥昏迷指数(Glasgow coma scale,GCS)、Barthel指数(Barthel index,BI)、Fugl-Meyer评分量表(Fugl-Meyer assessment scale,FMA)及整体疗效.结果比较两组术前的各项GCS评分,组间差异无统计学意义(P>0.05);术后,观察组的各项GCS评分均高于对照组,组间差异有统计学意义(P<0.05).观察组生活自理率为82.50%,高于对照组的62.50%,差异有统计学意义(P<0.05).比较两组术前的上下肢运动功能评分,组间差异无统计学意义(P>0.05);术后,观察组的上下肢运动功能评分均高于对照组,组间差异有统计学意义(P<0.05).观察组治疗总有效率为80.00%,高于对照组的57.50%,差异有统计学意义(P<0.05).结论重症颅内损伤患者采用早期康复治疗,有助于其术后转醒,并可在短期内改善患者运动功能,提高其生活自理能力.
Objective To analyze the effect of using early rehabilitation treatment for patients with severe intracranial trauma.Methods 80 patients with severe intracranial trauma admitted to the hospital between January 2019 and January 2020 were selected as the research objects.They were divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with conventional treatment and the observation group was treated with early rehabilitation.The Glasgow coma scale(GCS),Barthel index(BI),Fugl-Meyer score scale(FMA)and overall efficacy were compared between the two groups.Results Comparing the preoperative GCS scores of the two groups,there were no statistically significant differences between the groups(P>0.05);after surgery,the GCS scores of the observation group were higher than those of the control group in all aspects,and the differences between the groups were statistically significant(P<0.05).The self-care rate of the observation group was 82.50%,which was higher than 62.50%of the control group,and the difference was statistically significant(P<0.05).Comparing the motor function scores of upper and lower limbs of the two groups before surgery,the differences between the groups were not statistically significant(P>0.05);after surgery,the motor function scores of upper and lower limbs of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The treatment efficiency of the observation group was 80.00%,which was higher than 57.50%of the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation therapy for patients with severe intracranial trauma can help them wake up after surgery,improve their motor function and improve their ability to take care of themselves in a short period of time.
作者
孙凯
马伟
SUN Kai;MA Wei(Department of Neurosurgery,Zibo Hospital,Shandong Guoxin Yiyang Group,Zibo Shandong,255120,China)
出处
《反射疗法与康复医学》
2021年第4期127-129,142,共4页
Reflexology And Rehabilitation Medicine
关键词
重症颅内损伤
早期康复治疗
生活质量
运动功能
Severe intracranial trauma
Early rehabilitation
Quality of life
Motor function
