THE CLINICAL OBSERVATION OF EFFECT OF EARLY COMPREHENSIVE REHABILITATION IN HEMIPLEGIC PATIENTS WITH ACUTE CEREBRAL HEMORRHAGE

Objective: To observe the effect of early comprehensive rehabilitation on recovery of hemiplegic patients with acute cerebral hemorrhage.Methods:90 patients with acute cerebral hemorrhage were randomly divided into rehabilitation group and control group.Patients were both received conventional drug treatment in two groups.Patients in rehabilitation group were evaluated on their conditions and treated with individualized comprehensive rehabilitation including electrical stimulation,physical functional training,language training,etc.The rehabilitation group(60 cases) shows stable vital signs,stable condition(seven days after onset within).The control patients(30 cases) did not receive rehabilitation treatment.Instead of evaluation by the U.S.National Institutes of Health Stroke Scale(NIHSS),modified scale(MRS),Stroke Impact Scale(SIS) of the patients activities of daily living(ADL),disability,quality of life assessment of the condition on day 1,day 30,day 60 and day 90.Results:Before treatment,there are no apparent difference(P 0.05) in the NIHSS,MRS,SIS scores between the rehabilitation group and control group.After 30 days treatment,patient conditions such as activities of daily living(ADL),disability,life quality were improved than before(P0.01).Rehabilitation group improved more significantly than the control group(P0.01).Treatment of 60 days,90 days follow-up,there are significant differences in the two groups.The improvement of rehabilitation group was still significantly better than that of the control group(P0.01).Conclusion:The early comprehensive rehabilitation can help the patients with acute cerebral hemorrhage reduce disability;improve activities of daily living;and raise quality of life.