《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (8): 756-759.

• 临床研究 • 上一篇    下一篇

重度脑外伤患者的近期康复效果及长期预后研究

刘剑
   

  1. 煤炭总医院康复医学科，北京市100028
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-25 发布日期:2014-08-25

Comparison between Short- and Long-term Outcome of Rehabilitation for Patients with Severe Traumatic Brain Injury

LIU Jian.
   

  1. Department of Rehabilitation, China Meitan General Hospital, Beijing 100028, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-25 Online:2014-08-25

PDF (PC)

被引次数

14

摘要： 目的比较成年重度脑外伤患者不同年龄段康复的近期效果和长期预后的不同。方法18~65 岁重度颅脑创伤患者116 例，依发病年龄将患者分为18~44 岁组和45~65 岁组。康复治疗前和康复治疗3 个月后分别采用简易智能状态检查(MMSE)、残疾等级量表(DRS)、简化Fugl-Meyer 运动功能评分、Fugl-Meyer 平衡功能评分和改良Barthel 指数(MBI)对患者进行评估。出院1 年后对所有患者进行1 次电话随访，进行DRS的评估。结果康复治疗3 个月后两组MMSE评分、DRS评分、简化Fugl-Meyer 运动功能评分、Fugl-Meyer 平衡功能评分和MBI评分均较康复治疗前明显改善(P<0.01)。1 年后随访，两组患者DRS评分均继续下降，但18~44 岁组更明显(P<0.01)。结论早期康复可提高重度脑外伤成年人患者肢体功能和日常生活活动能力，年轻人的预后效果更好。

关键词: 脑外伤, 年龄, 康复, 残疾等级量表

Abstract: Objective To compare short- and long-term outcome of rehabilitation in different age patients with severe traumatic brain injury. Methods 116 patients with severe traumatic brain injury aged 18~65 years were divided into 18~44 years old group and 45~65 years old group. They were assessed with Mini-Mental Status Examination (MMSE), simplified Fugl-Meyer Motor Functional Assessment, Fugl-Meyer Balance Assessment, modified Barthel Index (MBI) and Disability Rating Score (DRS) before and 3 months after rehabilitation. And they were followed up with DRS 1 year after discharge. Results All the indexes improved 3 months after rehabilitation (P<0.01). After 1 year of follow-up, the DRS scores continued to decline in both groups, especially in the 18~44 years old group (P<0.05). Conclusion Early rehabilitation can improve the limb function and activities of daily living of adult patients with severe traumatic brain injury, especially in younger people.

Key words: traumatic brain injury, age, rehabilitation, Disability Rating Scale