脑出血早期康复治疗后对生存质量的影响

目的脑出血早期康复治疗后,随访康复治疗对生存质量的影响。方法收集原发性脑出血患者174例,均于发病后1、3、6、12个月进行随访。完成4次随访的患者分为康复组(102例)和对照组(72例),分别对临床神经功能缺损程度(neurological defict,ND)、肢体运动功能(采用Fugl-Meyer评分)和脑卒中生存质量(SS-QOL)进行比较。结果康复组在1、3、6、12个月ND评分、Fugl-Meyer评分和SS-QOL总分均明显高于对照组(P<0.05)。发病1个月康复组的生存质量在精力、活动、自理能力、上肢功能这4个因子的评分明显高于对照组,3个月时除上述4个因子外,增加了家庭角色、工作(劳动)2个因子,6个月时除上述6个因子外,增加了社会角色、语言2个因子,12个月时除上述8个因子外,又增加了情绪、个性、思维3个因子共11个因子较对照组有明显改善(P<0.05)。结论早期康复治疗脑出血可以显著改善神经功能缺损程度、肢体运动功能和生存质量。

Effect of early rehabilitative therapy on quality of life after stroke in patients with cerebral hemorrhage

Objective To explore the effect of early rehabilitative intervention on quality of life in patients with cerebral hemorrhage.Methods 174 first-ever stroke patients with cerebral hemorrhage were investigated.All of them were evaluated at the ends of followed up for 1,3,6 and 12 months.The patients who completed 4 successive evaluation were divided into early rehabilitation group(102 cases) and control group(72 cases).Neurological deficit(ND) evaluation,Fugl-Meyer motor assessment scale and stroke-specific quality of life(SS-QOL) questionnaire were used to assess neurological deficits,motor function and quality of life respectively and to compare between the 2 groups.Results The scores of ND,Fugl-Meyer and SS-QOL were significantly higher in the rehabilitation group than in control group by the end of the 1,3,6 and 12 months(P<0.05). Comparing the rehabilitation group with the control group,there were significant differences in energies,activity,upper extremity function and self-care ability at the end of 1 month.Apart from these items,family roles and work/labour in the rehabilitation group were significantly better than those in control group at the end of 3 months.Besides these,social roles and language in the rehabilitation group were also significantly better than those in the control group by the end of 6 months Mood,personality and thinking in the rehabilitation group were significantly improved compared with the control group at the end of 12 months.Conclusions Early rehabilitative intervention therapy can be effective in improvement of neurological deficits,motor function and quality of life in patients with cerebral hemorrhage.