Effect of early rehabilitation for basal ganglia hemorrhage patients treated with hematoma puncture and catheter drainage

Abstract

Objective To observe the efficiency and safety of early rehabilitation for patients with basal ganglia hemorrhage after hematoma puncture and catheter drainage. Methods A total of 80 basal ganglia hemorrhage patients treated with hematoma puncture and catheter drainage were randomly divided into 2 groups: control group (N = 40) received a two-week rehabilitation program 7 d after operation and early rehabilitation group (N = 40) received a two-week rehabilitation program 2 d after operation. They were assessed by Fugl-Meyer Assessment Scale (FMA), Barthel Index (BI) before and after 2-week treatment, as well as 3 months after treatment (during the following-up period), and they were also assessed by modified Rankin Scale (mRS) 3 months after 2-week treatment. The incidence of pulmonary infection, lower extremity venous thrombosis and rebleeding in 2 groups were statistically analyzed. Results Compared with before treatment, FMA score (t = -16.288, P = 0.000; t = -45.638, P = 0.000) and BI score (t = -20.188, P = 0.000; t = - 48.938, P = 0.000) of patients in both groups were all significantly increased after 2-week treatment and 3 months after treatment. Besides, FMA score (t = -29.350, P = 0.000) and BI score (t = -28.750, P = 0.000) of patients in both groups 3 months after treatment were higher than those after 2-week treatment. Compared with control group, FMA score (F = 7.505, P = 0.008) and BI score (F = 7.029, P = 0.010) were significantly increased in early rehabilitation group. Compared with control group, the prognosis in early rehabilitation group was better (Z = -3.591, P = 0.000). The incidence of pulmonary infection in early rehabilitation group were lower than that in control group [45% (18/40) vs. 67.50% (27/ 40); χ²= 4.114, P = 0.043]. Conclusions Early rehabilitation contributes to better motor recovery and ability in the activities of daily living for basal ganglia hemorrhage patients treated with hematoma puncture and catheter drainage. Early rehabilitation can reduce the incidence of pulmonary infection without increasing the risk of rebleeding.

DOI: 10.3969/j.issn.1672-6731.2018.12.007