摘要
目的评估重症颅内创伤早期康复治疗的临床效果。方法回顾性分析2011年6月至2017年1月在该院治疗的重症颅内创伤患者350例的临床资料,根据其是否进行早期康复治疗分为早期康复组(220例)和对照组(130例)。比较两组患者术后颅内创伤恢复情况,以及日常生活能力的恢复情况。结果术后1周,早期康复组患者GCS评分(11.3±2.6)分,较治疗前明显增加,且明显高于对照组,差异有统计学意义(P<0.05);而对照组GCS评分治疗前后差异无统计学意义(P>0.05)。术后2周,两组患者GCS评分均较治疗前明显增加,且早期康复组增加更明显,差异有统计学意义(P<0.05)。治疗后,两组患者Barthel指数评分均较治疗前明显增加,术后2周早期康复组明显高于对照组,差异有统计学意义(P<0.05)。结论早期康复治疗能明显促进脑内创伤患者术后神经功能的恢复,提高其生活自理能力。
Objective To evaluate the clinical effect of early rehabilitation treatment for severe intracranial trauma.Methods The clinical data of 350 inpatients with severe intracranial trauma treated in this hospital from June 2011 to January 2017 were analyzed retrospectively.According whether conducting the early rehabilitation therapy,all the patients were divided into early rehabilitation group(n=220)and control group(n=130).The recovery situation of intracranial trauma and recovery situation of daily life ability were compared between the two groups.Results The GCS score at postoperative 1 week in the early rehabilitation group was(11.3±2.6)points,which were significantly increased compared with before treatment,moreover was significantly higher than in the control group,and the differences were statistically significant(P<0.05);while the GCS score in the control group had no statistical difference before and after treatment(P>0.05).The GCS score at postoperative 2 weeks in the two groups was significantly increased compared with before operation,moreover which in the early rehabilitation group was more significant,and the difference was statistically significant(P<0.05).In addition,the Barthel index scores after treatment in the two groups were significantly increased compared with before treatment,and the early rehabilitation group at postoperative 2 weeks was significantly higher than the control group(P<0.05).Conclusion The early rehabilitation therapy can obviously promote the recovery of postoperative neural function and increase the living self-managing ability in the patients with intracerebral trauma.
作者
刘进
张雷
蒋叠
LIU Jin;ZHANG Lei;JIANG Die(Department of Neurosurgery,Chengfei Hospital,Chengdu,Sichuan 610031,China)
出处
《重庆医学》
CAS
2019年第6期993-995,共3页
Chongqing medicine
关键词
重症颅内创伤
早期康复治疗
治疗结果
severe intracranial trauma
early rehabilitation treatment
treatment outcome
