标题：远程管理模式对高血压脑出血患者康复的影响

      作者：张志彬，肖柏军，潘锦贤，王茂明，谢金霞    (深圳市坪山新区人民医院颅脑外科，广东 深圳 518118)

      卷次： 2017年28卷2期

      【摘要】 目的 探讨远程管理模式对高血压脑出血患者康复的影响。方法 选择2015年1~11月期间我院颅脑外科收治的高血压脑出血患者70例，根据随机数字表法将其分为两组，每组35例，出院后对照组予常规社区康复治疗，观察组在康复治疗中应用远程管理模式，干预时间为6个月，比较两组患者用药依从性，以及治疗前后神经功能缺损、运动功能、日常生活活动能力及生活质量情况。结果 干预后，观察组患者的治疗依从率为88.57%，明显高于对照组的68.57%，差异有统计学意义(P<0.05)；干预后，观察组与对照组患者NIHSS评分分别为(11.28±3.12)分、(13.84±4.27)分，均较治疗前显著下降，且观察组下降幅度更明显，与对照组比较，差异有统计学意义(P<0.05)；观察组患者的Fugl-Meyer评分、Barthel指数及SS-QLI评分分别为(48.83±8.34)分、(70.27±20.62)分、(143.96±18.53)分，对照组患者分别为(42.54±7.72)分、(64.71±21.43)分、(134.33±15.26)分，两组患者的上述指标均较干预前有明显提高，但观察组均明显高于对照组，差异均有统计学意义(P<0.05)。结论 远程管理模式对提高高血压脑出血患者的用药依从性，改善神经功能缺损、运动功能、日常生活活动能力及生活质量具有重要作用。
      【关键词】 高血压脑出血；远程管理；康复；神经功能缺损；疗效
      【中图分类号】 R743.34 【文献标识码】 A 【文章编号】 1003—6350（2017）02—0203—03

Effect of remote management mode on rehabilitation of patients with hypertensive intracerebral hemorrhage.ZHANG Zhi-bin, XIAO Bai-jun, PAN Jin-xian, WANG Mao-ming, XIE Jin-xia.
Department of Neurocranial Surgery,Pingshan New District People's Hospital of Shenzhen, Shenzhen 518118, Guangdong, CHINA
【Abstract】 Objective To explore the effect of remote management mode on rehabilitation of patients with hy-pertensive intracerebral hemorrhage. Methods A total of 70 patients with hypertensive intracerebral hemorrhage whotreated in Department of Neurocranial Surgery in our hospital from Jan. to Nov. 2015 were randomly divided to twogroups according to the random number table method, with 35 patients in each group. After discharge, the control groupwas treated with routine community rehabilitation, and the observation group adopted remote management mode basedon the control group, for 6 months. The medication compliance, as well as the neurological deficits, motor function, ac-tivities of daily living and quality of life before and after treatment were compared between two groups. Results Afterthe intervention, the compliance rate in observation group was 88.57%, which was significantly higher than that in con-trol group 68.57% (P<0.05). After the intervention, the NIHSS scores in the observation group and the control groupwere respectively (11.28±3.12) and (13.84±4.27), which were significantly decreased than those before treatment, andthe observation group were significantly lower than the control group, and the differences were statistically significant(P<0.05). Fugl-Meyer score, Barthel index score and SS-QLI in observation group and control group were respectively(48.83±8.34), (70.27±20.62), (143.96±18.53) and (42.54±7.72), (64.71±21.43), (134.33±15.26), which were significant-ly improved compared with those before intervention, and the scores in the observation group were significantly higherthan those in control group (P<0.05). Conclusion Remote management mode has an important role in patients with hy-pertensive intracerebral hemorrhage, which can significantly improve the medication compliance, neurological deficit,motor function, activities of daily living and quality of life.
      【Key words】 Hypertensive intracerebral hemorrhage; Remote management; Rehabilitation; Neurological deficit;Curative effect·论 著·doi:10.3969/j.issn.1003-6350.2017.02.010基金项目：广东省深圳市坪山新区2015年度科技计划项目（编号：201506）