颅脑外伤后患者早期神经节苷脂治疗及康复护理

The ganglioside treatment and rehabilitation care in early stage after traumatic brain injury

目的观察神经节苷脂和康复护理对重型颅脑损伤患者早期康复的影响。方法将66例颅脑损伤患者随机分为对照组和康复组各33例，2组均给予常规用药和神经节苷脂治疗，对照组给予常规护理，康复组除行常规护理外，同时实施系统、规范的早期康复护理，比较2组氧化应激状态、Barthel指数评分及生活质量。结果2组氧化指标比较无显著差异，康复组患者人院治疗后Barthel指数评分和生活质量评分明显高于对照组。结论康复护理可降低颅脑损伤残疾率，提高患者生活质量。

Objective To observe ganglioside and rehabilitation care to early rehabilitation of pa tients with severe traumatic brain injury. Methods 66 patients with brain injury were randomly divided into the control group and the rehabilitation group with 33 cases in each group. Both groups were given conventional medication and ganglioside treatment. The control group was given routine care. In addition to the usual care, the rehabilitation group received the implementation of systematic and standardized early re habilitation nursing. Oxidative stress status, Barthel index score, and quality of life were compared between two groups. Results Oxidative stress parameters of the two groups showed no significant difference. After hospital treatment, Barthel index score and quality of life in the rehabilitation group were significantly high er than those of the control group. Conclusions Rehabilitation care can reduce disability rates of head injury, and improve the quality of life of patients.