The related influencing factors and rehabilitation measures of postoperative limb motor function recovery in patients with severe craniocerebral injury
Objective To analyze the related influencing factors and rehabilitation measures of postop-erative limb motor function recovery in patients with severe craniocerebral injury(SCI).Methods The clinical data of 86 patients with SCI admitted to the Department of Neurosurgery of the hospital from March 2021 to March 2023 were retrospectively selected.All patients received standard decompressive craniectomy and post-operative limb motor function rehabilitation training.Univariate and logistic regression analysis were used to find out the risk factors affecting the recovery of limb motor function in patients with SCI,and to analyze the value of rehabilitation training in the improving limb function.Results Univariate analysis showed that there were statistically significant differences in age,Glasgow coma score(GCS score),motor function area injury,cerebral hernia,rehabilitation intervention time and disturbance of consciousness time between the two groups(P＜0.05).Logistic regression analysis showed that age≥50 years old,GCS score 3-5 points,motor function area injury,cerebral hernia,and disturbance of consciousness time＞10 days were all risk factors for limb mo-tor dysfunction after SCI(P＜0.05).Rehabilitation intervention time≤30 days was a protective factor for limb motor dysfunction after SCI(P＜0.05).After intervention,the limb motor function of eight patients re-turned to normal,and the patients with obvious limb motor dysfunction were lower than those before inter-vention,and the difference was statistically significant(P＜0.05).Before and after intervention,there was no significant difference in patients with mild,moderate and severe limb dysfunction(P＞0.05).Conclusion Age≥50 years old,GCS score of 3-5 points,motor function area injury,cerebral hernia,and disturbance of con-sciousness time＞10 days are all risk factors for limb motor dysfunction in SCI patients after surgery.Postop-erative rehabilitation measures should be taken as soon as possible,which is conducive to the recovery of limb motor function after surgery.
Severe craniocerebral injuryLimb motor functionRisk factorsRehabilitation measures
万方数据
维普
