1.Department of Neurosurgery, Jiujiang First People's Hospital, Jiangxi Province, Jiujiang 332000, China;
2.Department of Rehabilitation, Jiujiang First People's Hospital, Jiangxi Province, Jiujiang 332000, China
Abstract：Objective To explore the application effect of early postoperative neurorehabilitation in the treatment of hypertensive cerebral hemorrhage. Methods A total of 60 patients with hypertensive intracerebral hemorrhage in the Department of Neurosurgery of Jiujiang first people's Hospital from August 2017 to August 2021 were retrospectively selected. According to the postoperative treatment methods, they were divided into early group and late group, with 30 cases in each group. The early group received nerve rehabilitation treatment 4-7 days after operation, and the late group received nerve rehabilitation treatment 1-2 weeks after operation. Neurological function, daily living activity, motor function, cognitive function, clinical efficacy, bed time, improvement time of neurological function, improvement time of daily living activity and prognosis of 2 groups were statistically analyzed. Results After treatment, the score of National Institute of Health stroke scale (NIHSS) in the early group was lower than those in the late group, and the difference was statistically significant (P＜0.05), and the scores of Fugl Meyer motor function scale (FMA), activity of daily living scale (ADL) and mini mental state scale (MMSE) were higher than those in the late group (P＜0.05). The total effective rate in the early group was 93.33% (28/30) higher than that in the late group 66.67% (20/30), and the difference was statistically significant (P＜0.05). The bed time in the early group was shorter than that in the late group, and the difference was statistically significant (P＜0.05). The improvement time of neurological function was shorter than that in the late group (P＜0.05), and the improvement time of daily living activity was shorter than that in the late group, and the difference was statistically significant (P＜0.05). The prognosis of the early group was better than that of the late group, and the difference was statistically significant (P＜0.05). Conclusion Early postoperative neurological rehabilitation is better than late postoperative neurological rehabilitation in the treatment of patients with hypertensive intracerebral hemorrhage.
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