Study on the impact of rehabilitation training guided by the grading of neurological damage on the prognosis of cerebral hemorrhage
Objective To explore the impact of rehabilitation training guided by the degree of neurological damage on the prognosis of cerebral hemorrhage.Methods This was a prospective study,with 130 patients with cerebral hemorrhage admitted to our hospital from January 2022 to January 2023.The computer randomization method was used to generate random sequences,and after allocation concealment,the enrolled patients were divided into a conventional group(65 cases) and a graded group(65 cases).The conventional group received conventional rehabilitation treatment combined with conventional rehabilitation training.Patients in the graded group were managed by rehabilitation measures graded based on the degree of neurological damage evaluated using the National Institute of Health stroke scale(NIHSS).After one year of follow-up after the training,the rehabilitation compliance and physical balance function of patients in the two groups were compared by the Berg balance scale(BBS),and the international cooperative ataxia rating scale(ICARS).Limb motor function was assessed by the simplified Fugl Meyer motor function assessment scale upper limb(FMA-UL),and lower limb(FMA-LL) score.Prognosis was compared between groups.Results Under different rehabilitation measures,the excellent and good rehabilitation compliance rate of the graded group was significantly higher than that of the conventional group(92.31％[60/65]VS 73.85％[48/65],P<0.05).The BBS scores of the graded group after 1 month([42.23±10.46]points VS[37.66±10.23]points) and 3 months ([48.22±10.35]points VS[42.29±10.41]points) of treatment were significantly higher than those of the conventional group(P<0.05).The ICARS scores of the graded group after 1 month([40.22±5.35]points VS[43.36±5.33]points) and 3 months([32.49±5.42]points VS[35.28±5.41]points) were significantly lower than those of the conventional group (P<0.05).The FMA-UL scores of the graded group after 1 month([48.22±10.61]points VS[43.36±10.22]points) and 3 months([56.44±10.27]points VS[51.25±10.34]points) of treatment were significantly higher than those of the conventional group(P<0.05).The FMA-LL scores of the graded group after 1 month([18.44±3.25]points VS[16.25±3.41]points) and 3 months([22.29±5.33]points VS[19.35±5.44]points) of treatment were significantly higher than those of the conventional group(P<0.05).The incidence of poor prognosis was significantly lower in the graded group than that of the conventional group(4.62％[3/65]VS 18.46％[12/65],P<0.05).Conclusion Rehabilitation training guided by the grading of neurological damage can enhance the rehabilitation compliance of patients with cerebral hemorrhage,and has a positive impact on improving their physical balance function,limb movement function,and prognosis.
Cerebral hemorrhageRehabilitation trainingGraded guidanceNational Institute of Health stroke scalePrognostic situation
万方数据
维普
