《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (06): 503-504.

• 临床研究 • 上一篇    下一篇

早期康复治疗对脑外伤患者肢体功能及预后的影响

李水清; 李延萍; 高维亮; 冯俊芳; 武小刚; 薛小强; 贺卫芳   

  1. 延安大学医学院附属医院疼痛科 陕西延安市 716000
  • 收稿日期:2006-01-18 出版日期:2006-06-25 发布日期:2006-06-25

Effect of Early Rehabilitation on Patients with Closed Traumatic Brain Injury

LI Shui-qing, LI Yan-ping, GAO Wei-liang, et al   

  1. The Department of Ache Branch, Affiliated Hospital of Yan'an University Medical College, Yan'an 716000, Shaanxi, China
  • Received:2006-01-18 Published:2006-06-25 Online:2006-06-25

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被引次数

45

摘要： 目的观察早期康复对颅脑损伤患者肢体功能及预后的影响。方法80例颅脑损伤患者分为康复组和对照组各40例,对照组接受外科常规手术及降颅压、营养神经、支持和对症治疗;治疗组在此基础上进行肢体功能训练及日常生活能力训练。比较两组患者治疗前后的神经功能缺损程度、Fugl-Meyer量表(FMA)、改良Barthel指数(MBI)和残疾分级量表测评的评分,以及两组患者颅脑损伤3个月内并发症的发生率。结果康复组患者的神经功能缺损程度、FMA、MBI、残疾功能缺损程度和并发症发生率与对照组比较有显著性差异(P<0.05～0.01)。结论早期康复治疗可以改善颅脑损伤患者的神经功能,降低并发症的发生率。

关键词: 颅脑损伤, 肢体功能, 康复, 预后

Abstract: ObjectiveTo observe the effect of early rehabilitation on patients with closed traumatic brain injury (TBI).Methods80 TBI patients were divided into rehabilitation group and control group with 40 cases in each group. The control group was treated with routine surgical and other treatments. The rehabilitation group was treated with limb exercise and daily living training, besides treatments mentioned above. The scores of degrees of neural damage, Fugl-Meyer Assessment (FMA), modified Barthel index (MBI) and disability rating scale, and complications within 3 months of two groups were compared.ResultsThe scores of degree of neural damage, FMA, MBI and disability rating scale, and rate of complication of the rehabilitation group were significantly different from that of the control group (P<0.05～0.01).ConclusionEarly rehabilitation can improve brain function and reduce complication incidence of TBI patients.

Key words: traumatic brain injury, limb function, rehabilitation, prognosis