Altern Ther Health Med. 2023 Nov;29(8):347-351.
This study investigated the combined effect of stereotactic hematoma evacuation and early postoperative physical function exercise in hemodialysis patients with cerebral hemorrhage.
A retrospective study was conducted, including a total of 78 hemodialysis patients with cerebral hemorrhage treated at our hospital between January 2021 and June 2022. The patients were equally allocated to two groups based on different postoperative rehabilitation methods. The control group underwent stereotactic hematoma evacuation, while the study group received additional early postoperative physical function exercise in addition to the intervention provided to the control group. The operative conditions of both groups were recorded, and comparisons were made concerning neural function, limb function, daily activity ability, and complications.
There were no significant differences between the two groups regarding operation time, intraoperative blood loss, and hematoma removal rate (P > .05). However, the study group demonstrated a significantly shorter hospital stay (12.98 ± 2.01 days) compared to the control group (15.02 ± 2.07 days), P < .05. Post-treatment, the study group exhibited substantially lower neurological function scores (NIHSS score) (6.37 ± 1.02) compared to the control group (10.03 ± 1.09), P < .05. Additionally, the study group showed significantly higher limb function scores (P < .05) and daily activity ability scores (P < .05) compared to the control group. Moreover, the incidence of complications in the study group was significantly lower than that in the control group (P < .05).
Early postoperative physical function exercise following stereotactic hematoma evacuation showed beneficial effects in hemodialysis patients with cerebral hemorrhage. It effectively reduced operation time, restored nerve and limb function, improved daily activity ability, and reduced the incidence of related complications. These approaches hold crucial clinical significance.
本研究旨在探讨立体定向血肿清除术与术后早期物理功能锻炼联合应用于血液透析脑出血患者的效果。
回顾性研究，选取 2021 年 1 月至 2022 年 6 月在我院治疗的 78 例血液透析脑出血患者，按术后康复方法的不同分为两组，对照组行立体定向血肿清除术，观察组在对照组基础上增加术后早期物理功能锻炼，记录两组手术情况，比较神经功能、肢体功能、日常生活活动能力、并发症。
两组手术时间、术中出血量、血肿清除率比较，差异无统计学意义（P＞0.05）；观察组住院时间（12.98±2.01）d 短于对照组（15.02±2.07）d，差异有统计学意义（P＜0.05）。治疗后观察组神经功能评分（NIHSS 评分）（6.37±1.02）分低于对照组（10.03±1.09）分，差异有统计学意义（P＜0.05）；观察组肢体功能评分、日常生活活动能力评分高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P＜0.05）。
立体定向血肿清除术术后早期行物理功能锻炼应用于血液透析脑出血患者，可有效缩短手术时间，恢复神经及肢体功能，提高日常生活活动能力，降低相关并发症发生率，具有重要的临床意义。
