早期康复治疗对脑出血微创清除术后患者神经及运动功能的影响

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[Abstract] Objective：To explore the application value of early rehabilitation therapy in patients with intracerebral hemorrhage after minimallinvasiveclearance.Method： From July2O24 to January2O25，110patients with intracerebral hemorrhage who underwent minimally invasive clearance in the Second Afiliated Hospital of Guizhou Medical University were selected and divided into group Aand group B using the random number table method，with 55 cases in each group.Group A started rehabilitation treatment72hours after theoperation，group B started rehabilitation treatment 48 hours after the operation.Both groups were treated for 3 months.The neurological function （NIHSS scores），motor function [Fugl-Meyerassessment （FMA）scores]，anddaily livingactivityability [Barthel index （BI） scores]of the two groups were observed.Result： The NIHSS scores ofboth groups decreased after rehabilitation treatment compared to before rehabilitation treatment，and that in the group B [（10.16±2.30） （2 points] waslower than that in the group A [（11.62±2.59） points]（ P <0.05）. The FMA scores of both groups after rehabilitation treatment were higher than those before rehabilitation treatment，and that inthe group B [（71.39±9.11 ）

points] was higher than that in the group A [（66.71±8.51） points] （P<0.05） . The BI scores of both groups after rehabilitation treatment were higher than those before rehabilitation treatment，and that in the group B [（76.32±12.59） （2号 points] was higher than that in the group A[ （69.78±10.59） points] （P<0.05） .Conclusion：Earlyrehabilitation therapythatbegins 48h after the surgerycan effectively improve the neurological function，motor functionand daily livingactivity abilityof patients with intracerebral hemorrhage after minimally invasive clearance.

[Keywords]Intracerebral hemorrhageMinimally invasive clearanceEarly rehabilitation therapy Neurological function Motor function

First-author's address： Department of Rehabilitation Medicine，the Second Affiliated Hospital ol Guizhou Medical University，Kaili 556ooo，China doi： 10.3969/j.issn.1674-4985.2026.07.008

脑出血是神经外科常见的高致残率、高死亡率疾病，其病理机制与长期高血压导致的脑小动脉玻璃样变及粟粒状动脉瘤形成密切相关。（剩余5466字）