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目的:观察小脑血肿患者微创手术治疗及康复对患者神经功能的影响。方法:将57例小脑出血手术治疗患者依据后期治疗方法不同分为干预组(29例)和非干预组(28例),两组患者均给予微创血肿引流术治疗,治疗后干预组给予传统康复干预,非干预组给予临床上常规术后处理。分别比较患者斯堪的纳维亚量表(SNSS)评分、Barthel(BI)指数评分,进行两组神经功能恢复情况比较。结果:两组患者治疗后SNSS、BI评分有显著升高,与治疗前比较差异有统计学意义(P<0.05);术后组间比较,干预组优于非干预组,组间比较差异有统计学意义[SNSS:(35.32±10.43)分VS(23.24±12.34)分,t=5.253,P<0.05;BI:(65.52±13.43)分VS(50.74±15.81)分,t=-5.871,P<0.05]。结论:传统康复干预对小脑血肿术后神经功能恢复情况有良好的促进作用,对改善患者预后、后期功能恢复、生活自理有很大意义。
Objective: To observe the effects of minimally invasive surgery and rehabilitation on neurological function in patients with cerebellar hematoma. Methods: Fifty-seven patients with cerebellar hemorrhage undergoing surgery were divided into intervention group (n = 29) and non-intervention group (n = 28) according to the different treatment methods. Patients in both groups were treated with minimally invasive hematoma drainage. After treatment, Rehabilitation intervention, non-intervention group to give clinical routine postoperative treatment. The scores of Scandinavian scale (SNSS) and Barthel index (BI) were compared between the two groups to compare the recovery of neurological function. Results: The scores of SNSS and BI in both groups after treatment were significantly higher than those before treatment (P <0.05). The scores of SNSS and BI in two groups were significantly higher than those in non-intervention group Statistical significance [SNSS: 35.32 ± 10.43 vs 23.24 ± 12.34, t = 5.253, P <0.05; BI: (65.52 ± 13.43) vs 50.74 ± 15.81, t = -5.871, P <0.05]. Conclusion: The traditional rehabilitation intervention can improve the recovery of neurological function after cerebellar hematoma, which is of great significance to improve the prognosis of patients, the recovery of function in the later period and self-care.