早期综合康复治疗对颅脑损伤患者预后的影响

摘要

目的:探讨早期综合康复治疗对颅脑损伤(TBI)患者预后的影响.方法:中、重型TBI患者90例,随机分为观察组和对照组各45例.2组均予以常规药物、针灸、物理因子等治疗,观察组加用综合康复锻炼、认知功能训练及高压氧治疗.治疗前后给予简明精神量表(MMSE)、改良巴氏指数(MBI)、运动功能评定量表(FMA)及平衡Berg量表(BBS)评定.结果:治疗1个月后,2组患者MMSE、MBI、FMA、BBS等各项评分较治疗前均明显提高,观察组更高于对照组(均P＜0.01)；观察组并发症的发生率明显低于对照组(P＜0.05).结论:TBI患者早期进行综合康复治疗,有利于改善患者运动功能及认知功能,减少并发症,提高患者生活自理能力.%Objective:To explore the effect of early comprehensive rehabilitation on prognosis of patients with traumatic brain injury (TBI). Method:Ninety patients with moderate and/or severe TBI were randomly divided into observation group and control group (n = 45 each). Both groups were given traditional treatment. The observation group was given early comprehensive rehabilitation training,cognitive training and hyperbaric oxygen therapy additionally. All patients were assessed with Mini-Mental State Examination (MMSE) ,Fugl-Meyer Acessment (FMA), modified Barthel index (MBI) and Berg Balance Scale (BBS). Results: All scores in both two groups were increased, more signifcicantly in observation group (all P<0. 01). The incidence of complications in observation group was significantly lower than in control group (P<0. 05). Conclusion: Early comprehensive rehabilitation on patients with TBI may obviously improve motor function and cognitive function, decrease complication and increase the activities of daily living.