早期康复对脑出血患者神经功能恢复、日常生活能力及焦虑抑郁症状的影响

被引:7
作者
廖书胜 [1 ]
邱小鹰 [1 ]
韦懿 [2 ]
陈红 [1 ]
肖岩 [2 ]
杨明秀 [1 ]
陈炜 [1 ]
机构
[1] 广西柳州市人民医院神经内科
[2] 广西柳州市人民医院康复科
关键词
脑出血; 早期康复; 神经功能缺失; 日常生活能力; 精神障碍;
D O I
10.16121/j.cnki.cn45-1347/r.2014.03.047
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
100204 [神经病学];
摘要
目的观察早期康复对脑出血患者神经功能恢复、日常生活能力及焦虑抑郁症状的影响。方法将67例脑出血患者随机分为康复组(32例)和对照组(35例),均进行规范药物治疗,对照组按传统康复训练要求进行,康复组患者同时接受早期综合康复治疗。治疗前和治疗3个月后分别对两组患者进行美国国立卫生研究院卒中量表(NIHSS)评分,采用Barthel指数(BI)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)等测试。结果治疗3个月后,两组患者神经功能缺失明显减轻,与入院时比较差异均有统计学意义(P均<0.05),康复组改善更明显,与对照组比较差异有统计学意义(P<0.05);康复组患者治疗后BI、HAMA、HAMD评分与治疗前比较以及与治疗后的对照组患者比较,差异均有统计学意义(P均<0.05)。结论早期综合康复能明显促进脑出血患者神经功能恢复,提高日常生活能力,减轻焦虑、抑郁症状,有效提高患者生存质量。
引用
收藏
页码:258 / 260+263 +263
页数:4
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