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首页> 外文期刊>Journal of Behavioral and Brain Science >Effectiveness and Influencing Factors of Comprehensive Rehabilitation Therapy in Patients with Aneurysmal Subarachnoid Hemorrhage
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Effectiveness and Influencing Factors of Comprehensive Rehabilitation Therapy in Patients with Aneurysmal Subarachnoid Hemorrhage

机译：动脉瘤性蛛网膜下腔出血患者综合康复治疗的有效性与影响因素

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This study aimed to determine the effectiveness of comprehensive rehabilitation for patients with aneurysmal subarachnoid hemorrhage (aSAH) and to explore the factors influencing the prognosis of rehabilitation. This was a retrospective study. Twenty-five patients with aSAH were treated with physical therapy, occupational therapy, speech therapy, cognitive therapy, music therapy, Chinese acupuncture, hyperbaric oxygen, and transcranial magnetic stimulation. The general data of all patients were collected, and the functional scores at admission were compared with those at discharge. The Mini Mental State Examination, Fugl-Meyer Assessment Scale (FMAS) for motor and balance assessment, Holden Functional Ambulation Classification (FAC), modified Rankin Scale, National Institute of Health Stroke Scale, Modified Barthel Index for activities of daily living (ADL), and Glasgow Outcome Scale were significantly improved among 25 patients with aSAH after 1 month of comprehensive rehabilitation training. Hydrocephalus was an independent factor of the ability to perform ADLs (odds ratio, 0.29; 95% confidence interval, 2.03. 3.15; p = 0.000). The improvement of ADLs in aSAH patients was not related to sex, surgical method, aneurysm location, age, or smoking status. Comprehensive and professional rehabilitation is effective for the cognition, movement, walking, ADLs, and functional prognosis of patients with aSAH, while early hydrocephalus may be a risk factor for poor ADLs.
机译：本研究旨在确定动脉瘤性蛛网膜下腔（ASAH）患者综合康复的有效性，并探讨影响康复预后的因素。这是一个回顾性研究。用物理治疗，职业治疗，言语疗法，认知治疗，音乐疗法，汉针，高压氧和经颅磁刺激治疗二十五名亚瑟患者。收集所有患者的一般数据，并将录取的功能分数与放电时的函数分数进行比较。迷你精神状态考试，Fugl-Meyer评估规模（FMAS）用于电机和平衡评估，持有职能救护队（FAC），改进的Rankin规模，国家卫生冲程规模，修改了Barthel指数，用于日常生活活动（ADL）在综合康复培训1个月后，25名亚瑟患者中，格拉斯哥的结果规模显着改善。脑积水是执行ADLS的能力的独立因素（差距，0.29; 95％置信区间，2.03。3.15; P = 0.000）。 Asah患者的ADLS的改善与性别，手术方法，动脉瘤位置，年龄或吸烟状况无关。全面和专业的康复是亚瑟患者的认知，运动，行走，ADL和功能预后是有效的，而早期的脑积水可能是穷人ADL的危险因素。

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