《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (04): 284-285.

• 临床研究 • 上一篇    下一篇

重型闭合性颅脑损伤患者早期康复疗效观察

李玉; 赵甲山   

  1. 华中科技大学同济医学院附属协和医院神经外科; 湖北武汉市
  • 收稿日期:2004-11-09 出版日期:2005-04-25 发布日期:2005-04-25

Observation of early rehabilitation on patients with severe closed traumatic brain injury

LI Yu, ZHAO Jia-shan   

  1. Department of Neurosugery, Union Hospitol, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China
  • Received:2004-11-09 Published:2005-04-25 Online:2005-04-25

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摘要： 目的观察重症监护室中重型闭合性颅脑损伤患者早期康复的疗效。方法将118 例重型闭合性颅脑损伤患者分为治疗组和对照组各59例,对照组接受呼吸康复、压疮预防、泌尿系护理,治疗组在此基础上进行肢体神经功能康复、认知功能康复比较两组患者治疗前后的GlasgoW昏迷量表(GCS)、Fugl-Mayer量表评定(FMA)、日常生活活动能力(ADL)测评、残疾分级量表(DRS)测评和简易精神状态检查表(MMSE)评分。结果治疗组患者的GCS、FMA(上肢)、ADL和DRS评分较对照组有显著性差异(P<0.05),MMSE评分无显著性差异(P>0.05)。结论早期康复治疗可以改善重型闭合性颅脑损伤患者的神经功能,认知功能的改善短期内不明显。

关键词: 脑损伤, 康复, 神经功能

Abstract: ObjectiveTo observe the effect of early rehabilitation on patients with severe closed traumatic brain injury in intensive care unite (ICU).Methods118 patients with severe closed traumatic brain injury were divided randomly into the treatment group and control group with 59 cases in each group. The patients of control group recieved respiration rehabilitation, bedsore prevention and urinary system nursing; while the patients of treatment group added with motor and cognitive rehabilitation. Scores of Glasgow coma scale (GCS), Fugl-Mayer assessment (FMA), mini-mental status examination (MMSE), disability rating scale (DRS) and activities of daily living (ADL) of all patients were recorded before and after treatment.ResultsThe scores of GCS, FMA (upper limbs), ADL and DRS of the treatment group patients were significantly difference with that of the control group after treatment (P<0.05). The MMSE scores of two groups had no significantly difference after treatment (P>0.05).ConclusionEarly rehabilitation on the patients of severe closed traumatic brain injury in ICU can improve brain function and reduce the disability rating scale. The improvement of cognitive ability is not obviously in a shot period.

Key words: brain injury, rehabilitation, never function