早期康复护理对重型颅脑损伤术后偏瘫患者康复效果的影响
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摘要
目的探讨早期康复护理干预对重型颅脑损伤术后偏瘫肢体康复效果的影响。方法 2016年1月至2017年12月,随机选取我院收治的重型颅脑损伤术后偏瘫患者88例为研究对象,根据其入院序号奇偶数均分为对照组和观察组,各44例。对照组行常规护理干预,观察组在此基础上行早期康复护理干预,比较两组的关节运动功能、并发症发生率、生活质量及日常生活能力。结果观察组FM评分优良率高于对照组(P<0.05);观察组关节痉挛、关节脱位、肌肉萎缩的发生率均低于对照组(P<0.05);护理3个月后,两组生活质量、日常生活能力评分均升高,且观察组高于对照组(P<0.05)。结论重型颅脑损伤术后偏瘫患者行早期康复护理干预效果显著,推荐临床推广。
Objective To explore the effect of early rehabilitation nursing intervention on rehabilitation of hemiparalysis limbs after severe craniocerebral injury. Methods From January 2016 to December 2017, a total of 88 patients with severe craniocerebral injury treated in our hospital were randomly selected as study objects, and averaged divided into control group and observation group according to the odd or even of admission numbers, with 44 cases in each group. The control group was given routine nursing intervention, and the observation group was given early rehabilitation nursing intervention on this basis. The joint motor function, complication rate, quality of life and daily living ability were compared between the two groups. Results The excellent and good rate of FM score in the observation group was higher than that in the control group(P<0.05). The incidences of articular convulsion, joint dislocation and muscle atrophy in the observation group were lower than those in the control group(P<0.05). After 3 months of nursing, the scores of quality of life and daily living ability in the two groups increased, and those in the observation group were higher than the control group(P<0.05). Conclusion The effect of early rehabilitation nursing intervention on patients with hemiplegia after severe craniocerebral injury is significant, and clinical promotion is recommended.
Objective To explore the effect of early rehabilitation nursing intervention on rehabilitation of hemiparalysis limbs after severe craniocerebral injury. Methods From January 2016 to December 2017, a total of 88 patients with severe craniocerebral injury treated in our hospital were randomly selected as study objects, and averaged divided into control group and observation group according to the odd or even of admission numbers, with 44 cases in each group. The control group was given routine nursing intervention, and the observation group was given early rehabilitation nursing intervention on this basis. The joint motor function, complication rate, quality of life and daily living ability were compared between the two groups. Results The excellent and good rate of FM score in the observation group was higher than that in the control group(P<0.05). The incidences of articular convulsion, joint dislocation and muscle atrophy in the observation group were lower than those in the control group(P<0.05). After 3 months of nursing, the scores of quality of life and daily living ability in the two groups increased, and those in the observation group were higher than the control group(P<0.05). Conclusion The effect of early rehabilitation nursing intervention on patients with hemiplegia after severe craniocerebral injury is significant, and clinical promotion is recommended.
引文
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[2]何燕飞.早期康复护理干预对脑卒中偏瘫患者肢体功能生活能力和负性情绪的影响分析[J].湖南中医药大学学报,2016,38(a2):1488-1489.
[3]孙玉红.早期护理干预重型颅脑损伤患者的康复效果[J].中国组织工程研究,2016,20(a2):16-17.
[4]李晓莉,艾艳.早期康复护理干预对创伤性颅脑损伤患者的神经、肢体运动及生活质量的影响[J].实用医院临床杂志,2017,14(4):200-202.
[5]张超.Brunnstrom分级取穴结合康复训练治疗脑卒中后上肢运动功能障碍疗效观察[J].浙江中西医结合杂志,2017,27(3):221-223.
[6]郑红.醒脑开窍针刺法联合早期康复护理对脑梗死偏瘫患者肢体功能的影响[J].中医药导报,2016,23(2):117-118.
[7]伍友琼,李敏清,柏忠萍,等.脑卒中偏瘫患者早期良肢位康复护理干预的效果观察[J].世界中医药,2016,11(b3):1151-1152.
[8]同艳风,李青.早期康复护理对脑梗死偏瘫失语患者的康复效果的影响[J].实用临床医药杂志,2016,20(18):17-19.
[9]周红艳,张少茹,卢丹丹,等.超早期康复护理对脑卒中患者偏瘫肢体功能的影响[J].护士进修杂志,2012,27(18):1674-1675.