期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2012
卷号：12
期号：2
页码：228-239
语种：English
出版社：Ovidius University Press
摘要：Intracerebral hemorrhage is focal bleeding from a blood vessel in the brain parenchyma that may extend to ventricles,) is the second most common cause of stroke,following ischemic stroke.It accounts for 8-13% of all stroke cases.It is the third leading cause of death and the leading cause of disability in the US.In cases of cerebral hemorrhage,death results from extensive bleeding that causes increased pressure on the brain resulting in neurological damage.Predilection sites for Intracerebral hemorrhage include the basal ganglia (40-50%),lobar regions (20-50%),thalamus (10-15%),pons (5-12%),cerebellum (5-10%),and other brainstem sites (1-5%).The role of kinetoterapy procedure is less known in principal the day of beginning of them.Material and methods: For statistical analysis of Intracerebral hemorrhage in order to know its prognosis and evolution,retrospective type of study has been chosen and done in Spitalul Judetean Constanta included all patient hospitalized between 01.01.2011-01.06.2011 Results: All the patients who have ICH had medical treatment.Some undergo surgical removal too.According to theory,patients needed medical treatment with labetalol,nitroprusside or hydralazine for blood pressure control,Mannitol or osmotherapy for increase ICP,fluid management for hydroelectrical balance,phenytoin for prevention of seizures and also control of body temperature and other symptomatic treatments with Algocalmin Metoclopromide,Quamatel,Vit b complexes etc. Kinetotheraphy treatment Rehabilitation programme objectives: induce of voluntar motor activity;prevent wrong movement;prevent muscle retractures and joints diformities,decrease spasticity.Rehabilitation programme: we used physical programme for reduce pain,spasticity and also kinetic method for each objective.In each month we followed the evolution using specific scale assessment.We must say that during the acute period they did not came at rehabilitation programme.Conclussions Although we are assisting a new and highly established medical drugs and interventions in the field of modern medicine,ICH are unfortunately common in Neurology department.It is the second most common cause of stroke,following ischemic stroke. HTA is the major risk factor,morbidity and mortality is increased with the size of hematoma,location of hematoma,ventricular extension presence,blood glucose level and advanced age.Also GCS score is important in evaluation of prognosis in patients with ICH. Evolution of patients with ICH is not good.Majority had Hemiplegia,aphasia,facial palsy and dysphagia.Death rates are high for IVHs. The best method of prevention of ICH is good control of HTA,careful follow up of cases and removal of risk factors and education of public with respect to risk of development of ICH. Intracerebral hemorrhage will continue to be an important problem as the population ages in the world.Treatment is limited currently and is primarily supportive.Despite historically poor outcomes in ICH,there is considerable hope that the identification of factors involved in neurologic morbidity,early hemostasis,and removal of intracerebral hematomas will improve the short-term treatment of ICH.All patient with stroke have hemiplegia,an for all we started a recuperation program in hospital in acute stroke with kinetotrapeut and we recommend for home a battery of exercise if the condition state permitted.
