高血压脑出血患者颅内血肿微创清除术后早期康复治疗

摘要

Objective To explore the effect of intracranial hematoma minimally invasive removal combined with early rehabil -itation in the treatment of hypertensive cerebral hemorrhage .Methods 86 qualified cases were randomly divided into rehabilitation group and control group .Intracranial hematoma minimally invasive was located in CT slice .When the patients were in the stable condi-tion, two groups were rehabilitation training after 48 hours and a week.The effective rate, mortality, complications, extremity motor function and activities of daily living were assessed in both groups .Results The effective rate in both group were 81.40% and 88.37%which were significantly different from those of the control group (P<0.05).There was no significant difference in mortality in two groups (6.98%and 4.65%, P>0.05).Incidence of postoperative joint contracture and shoulder hand syndrome rehabilitation group were lower than the control group (P<0.05).There was no significant difference between bleeding and other complications (P>0.05).The extremity motor function and activities of daily living were higher than the control group (P<0.05).Conclusion In-tracranial hematoma minimally invasive removal combined with early rehabilitation in the treatment of hypertensive cerebral hemorrhage has important clinical significance which can improve the quality of life for the patients .%目的：探讨高血压脑出血患者颅内血肿微创清除术结合早期康复治疗的有效性。方法将符合要求的86例高血压脑出血患者随机分为康复组和对照组。两组均在CT定位基础上进行颅内血肿微创清除术，待患者病情稳定后，康复组和对照组分别在术后48 h和术后1周行康复训练，比较两组患者手术后有效率、病死率、并发症、治疗前后肢体功能和生活能力评定。结果对照组和康复组术后总有效率分别为81．40％和88．37％，差异有统计学意义（P＜0．05）；两组病死率分别为6．98％和4．65％，差异无统计学意义（P＞0．05）；康复组术后关节挛缩和肩手综合征发生率低于对照组，两组间比较差异有统计学意义（P＜0．05）；再次出血和其他并发症间比较差异无统计学意义（P＞0．05）；术后康复组肢体功能和生活能力评分均明显高于对照组，两组间差异有统计学意义（P＜0．05）。结论颅内血肿微创清除术结合早期康复治疗可明显改善高血压脑出血患者生存质量，具有重要的临床意义。