Abstract：Objective: To explore the effect of transcranial ultrasound combined with rehabilitation guidance on the curative effect and prognosis of patients with cerebral hemorrhage. Methods: From February 2016 to February 2017, 68 cases of patients with cerebral hemorrhage treated in our hospital were selected as the subjects. According to simple random method, the patients were divided into two groups. The control group was given routine limb rehabilitation exercise, and the observation group was given routine limb rehabilitation exercise plus transcranial ultrasound treatment. Limb function recovery and life therapy score were compared between the two groups after 6 weeks of treatment, and after treatment Fugl-Meyer motor function, Barthel score, Hamilton depression scale (HAMD) score, Hamilton anxiety scale (HAMA) score. Results: The improvement rate of limb function in the observation group was better than that in the control group (52.95% VS 76.47%, P<0.05). After treatment, the Fugl-Meyer motor function and Barthel score of the two groups were higher than those before treatment (P<0.05), while the Fugl-Meyer motor function and Barthel score of the observation group were higher than those of the control group (P<0.05). After treatment, the scores of HAMD and HAMA in the two groups were lower than those before treatment (P<0.05), while the scores of HAMD and HAMA in the observation group were lower than those in the control group (P<0.05). The quality of life in the observation group after treatment for 6 weeks was higher than that in the control group (P<0.05). Conclusion: Transcranial ultrasound combined with rehabilitation guidance in the treatment of patients with cerebral hemorrhage. This treatment can effectively restore limb function and improve psychological status, improve the quality of life. It has important clinical significance.
唐颖,危凤藕,黄大鹏,陈克华. 经颅超声联合康复指导治疗对脑出血患者疗效及预后的影响[J]. 河北医学, 2018, 24(11): 1808-1811.
Tang Ying, Wei Feng'ou, Huang Dapeng, et al. Effect of Transcranial Ultrasound combined with Rehabilitation Guidance on the Curative Effect and Prognosis of Patients with Cerebral Hemorrhage. HeBei Med, 2018, 24(11): 1808-1811.
[1] 官念,吴碧华,刘黎明,等.脑出血病因及相关机制的研究进展[J].中华老年心脑血管病杂志,2016,18(6):670~672. [2] 王哲,王彦凯,冯伟,等.脑出血后血脑屏障损伤机制的研究进展[J].分子影像学杂志,2016,39(4):420~424. [3] Frontera J A, Rabinstein A A. Intensive blood-pressure lowering in cerebral hemorrhage.[J]. Cjem, 2016, 375(11):1. [4] 康慧莉,詹维伟,丁勇,等.超声在高血压性脑出血微创清除术中的应用[J].介入放射学杂志,2016,25(1):74~77. [5] 中华医学会神经病学分会.中国脑出血诊治指南(2014)[J].中华神经科杂志,2015,48(6):435~444. [6] 梁丹,白玉龙.脑卒中后患者日常生活活动能力的康复训练[J].上海医药,2017,38(1):3~6. [7] 郭强,张爱莲,宋志斌,等.基底核区高血压脑出血术后患者生命质量及影响因素分析[J].中华物理医学与康复杂志,2016,38(7):514~523. [8] Hui L, Yi W, Xiao Y, et al. Hydrogen sulfide attenuates tissue plasminogen activator-induced cerebral hemorrhage following experimental stroke[J]. Translational Stroke Research, 2016, 7(3):209~219. [9] Zhou H X, Gao L H, Meng L L, et al. Preventive and therapeutic effect of simvastatin on secondary inflammatory damage of rats with cerebral hemorrhage[J]. Asian Pacific Journal of Tropical Medicine, 2017, 10(2):146~150. [10] 韦拳堂,钟志伟,张子衡,等.颅内压监测在高血压脑出血微创治疗中的应用[J].实用医学杂志,2016,32(7):1136~1139. [11] 孙凌云,张小强,王湘,等.高血压脑出血治疗中应用超早期小骨窗微创颅内血肿清除术的疗效分析[J].河北医学,2017,23(3):424~427. [12] 李春香,陆国凤,刘海墨,等.脑出血患者早期康复治疗对神经功能、肢体活动程度、自理能力的影响分析[J].中国实用医药,2017,12(20):153~154. [13] Bonow R H, Silber J R, Enzmann D R, et al. Towards use of MRI-guided ultrasound for treating cerebral vasospasm[J]. Journal of Therapeutic Ultrasound, 2016, 4(1):1~8. [14] Maeshima S, Okamoto S, Okazaki H, et al. Hemorrhagic transformation in patients with cerebral Infarction referred to a rehabilitation hospital[J]. Interv Neurol, 2016, 4(3-4):69~74.
2018, Vol. 24 
冀公网安备13080202000677号