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1. 韶关市粤北人民医院神经外科
2. 韶关市粤北人民医院高压氧科
3. 韶关市曲江区小坑卫生院
纸质出版日期:2020,
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茹纹娟, 邱春妹, 茹求娣. 早期康复在动脉瘤性蛛网膜下腔出血患者中的应用[J]. 保健医学研究与实践, 2020,17(2):69-72.
Ru Wenjuan, Qiu Chunmei, Ru Qiudi. Application of early rehabilitation in patients with aneurysmal subarachnoid hemorrhage[J]. Health Medicine Research and Practice, 2020,17(2):69-72.
目的探讨早期康复在动脉瘤性蛛网膜下腔出血(SAH)患者中的应用效果。方法选取2018年5月-2019年2月韶关市某医院收治的70例动脉瘤性SAH患者为研究对象
采用随机数字表法分为试验组和对照组
每组35例。对照组患者予以基础治疗
试验组患者在对照组基础上予以早期康复治疗。比较2组患者的住院天数、开始下床活动时间、格拉斯哥昏迷(GCS)评分、并发症发生率。结果试验组患者的住院天数为(12.8±2.4)d、开始下床活动时间为(124.0±9.8)h
明显短于对照组[(15.7±5.6)d
(289.0±10.2)h]
GCS评分为(12.1±2.6)分
明显高于对照组的(9.6±3.4)分
差异均有统计学意义(P<0.05);试验组患者并发症发生率为2.86%
明显低于对照组的20.00%
差异有统计学意义(P<0.05)。结论早期康复可明显缩短动脉瘤性SAH患者的住院天数、开始下床活动时间
改善患者预后
值得临床推广应用。
Objective To explore the effect of early rehabilitation in patients with aneurysmal subarachnoid hemorrhage(SAH).Methods A total of 70 patients with aneurysmal SAH treated in a hospital in Shaoguan from May2018 to February 2019 were selected as the research subjects
and a random number table was used to divide them into a test group and a control group
with 35 cases in each group.Patients in the control group were given basic treatment
and patients in the test group were given early rehabilitation in addition.The length of hospital stay
the time to ambulation
the Glasgow coma scale(GCS)score
and the incidence of complications were compared between the two groups.Results The length of hospital stay of the test group was(12.8±2.4)d
and the time to ambulation was(124.0±9.8)h
which were significantly shorter than those of the control group
which were(15.7±5.6)d and(289.0±10.2)h
respectively(P<0.05).The GCS score of the test group was(12.1±2.6)
which was significantly higher than that of the control group(9.6±3.4)points(P<0.05).The incidence of complications in the test group was 2.86%
which was significantly lower than that in the control group(20.00%)(P <0.05).Conclusion Early rehabilitation can significantly shorten the length of hospital stay
the time to ambulation and improve the prognosis of patients with aneurysmal SAH.It is worthy of wider clinical application.
早期康复早期活动动脉瘤性蛛网膜下腔出血临床研究预后效果
Early rehabilitationEarly activityAneurysmal subarachnoid hemorrhageClinical researchPrognostic effect
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