内科

目的观察早期康复对脑出血患者神经功能恢复、日常生活能力及焦虑抑郁症状的影响。方法将67例脑出血患者随机分为康复组（32例）和对照组（35例），均进行规范药物治疗，对照组按传统康复训练要求进行，康复组患者同时接受早期综合康复治疗。治疗前和治疗3个月后分别对两组患者进行美国国立卫生研究院卒中量表（NIHSS）评分，采用Barthel指数（BI）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）等测试。结果治疗3个月后，两组患者神经功能缺失明显减轻，与入院时比较差异均有统计学意义（P均＜0.05），康复组改善更明显，与对照组比较差异有统计学意义（P＜0.05）；康复组患者治疗后BI、HAMA、HAMD评分与治疗前比较以及与治疗后的对照组患者比较，差异均有统计学意义（P均＜0.05）。结论早期综合康复能明显促进脑出血患者神经功能恢复，提高日常生活能力，减轻焦虑、抑郁症状，有效提高患者生存质量。

ObjectiveTo observe the effect of early rehabilitation on neurological impairment, activity of daily living(ADL) and mood disorders in patients with intracerebral hemorrhage(ICH). Methods67 patients with ICH were randomly divided into the rehabilitation group (32 cases) and control group (35 cases). All patients in the two groups were given routine treatment, and the control group received traditional rehabilitation, while the rehabilitation group were given early rehabilitation. NIHSS, Barthel Index(BI) , Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were used to evaluate the effect before and 3 months after the treatment. ResultsAfter 3 months of treatment, the loss of nerve function in two groups were significantly reduced compared with before treatment(P＜0.05),and the rehabilitation group improved more obviously than the control group, there was significant difference between the two groups(P＜0.05). After 3 months, the scores of BI, HAMD, and HAMA in the rehabilitation group were increased significantly compared with before treatment and control group (P＜0.05). ConclusionsThe early rehabilitation has positive effect on treatment of neurological impairment in patients with ICH, and can obviously improve the ADL index, decrease anxiety and depression, improve patents′ self-care ability.