Clinical application of comprehensive rehabilitation in patients with craniocerebral trauma
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摘要: 目的 探讨综合康复治疗方案在颅脑外伤患者并发症预防和功能康复中的应用价值。 方法 选择2016年10月—2018年5月在滁州市第一人民医院接受急诊手术治疗的104例颅脑外伤患者作为研究对象,简单随机分为观察组(51例)和对照组(53例),对照组术后予以常规康复方案,观察组术后予以综合康复方案,采用χ2检验比较分析2组患者住院期间常见并发症的发生率,并用t检验统计分析2组患者半年后运动功能(Fugl-Meyer,FMA)评分和日常生活能力(Barthel Index,BI)评分,从而对综合康复治疗方案的应用价值予以评估。 结果 观察组患者住院期间常见并发症的发生率为27.45%,对照组为54.72%,功能康复半年后,观察组的FMA和BI评分分别为83.18±2.24和72.71±2.99,对照组分别为76.15±2.33和63.60±3.31,χ2检验显示观察组常见并发症的发生率明显低于对照组(P=0.039),而t检验显示观察组FMA和BI评分明显高于对照组(P=0.032、0.044)。 结论 综合康复治疗方案可以有效降低颅脑外伤患者术后常见并发症的发生率,还能促进其功能恢复,提高生活质量,具有一定的临床应用价值。Abstract: Objective To investigate the application value of comprehensive rehabilitation in patients with craniocerebral trauma. Methods A total of 104 patients with craniocerebral trauma who were treated with emergency surgery in our hospital from October 2016 to May 2018 were selected as subjects. They were randomly divided into observation group (51 patients) and control group (53 patients). The observation group was treated with comprehensive rehabilitation and routine rehabilitation in the control group. The χ2 test was used to compare the incidence of common complications during hospitalization between the two groups. The t-test was used to analyze the FMA motor function score (Fugl-Meyer, FMA) and BI Daily living Ability Score (Bathel Index, BI) of the two groups after half a year,then the application value of comprehensive rehabilitation treatment programs was evaluated. Results The incidence of common complications during hospitalization was 27.45% in the observation group and 54.72% in the control group. After half a year of rehabilitation, the FMA score and BI score of the observation group were 83.18±2.24 and 72.71±2.99, and the control group was 76.15±2.33 and 63.60±3.31. χ2 test showed that the incidence of common complications in the observation group was significantly lower than that of the control group (P=0.039). While the t-test showed that the FMA score and BI score in the observation group were significantly higher than the control group (P=0.032, 0.044). Conclusion Comprehensive rehabilitation treatment can significantly reduce the incidence of common complications in patients with craniocerebral trauma, and also promote the recovery of function and improve the quality of life, which has a certain clinical application value.
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Key words:
- Comprehensive rehabilitation /
- Craniocerebral trauma /
- Functional recovery /
- Complication
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