针刺配合康复护理对重型颅脑损伤患者生存质量的影响

Influence of Acupuncture and Rehabilitation Nursing on the Quality of Life in Patients with Severe Craniocerebral Injury

目的探讨针刺配合康复护理对重型颅脑损伤患者生存质量的影响。方法选择2009年6月-2011年6月我院收治的重型颅脑损伤患者56例,随机分为研究组和对照组各28例。对照组给予常规药物及护理措施,而研究组则在此基础上给予针刺与康复护理,对两组患者的生存质量等相关指标进行比较分析。结果研究组在神经功能、心理功能和社会功能以及物质生活等方面的评分值均显著提高,明显优于对照组(p<0.05)。研究组瘫痪肢体运动功能(Fugl-Meyer评分)和日常活动能力(Barthel指数评分)分别为(81.63±21.87)和(80.28±14.53),而对照组分别为(53.12±20.37)和(56.71±13.29),两组比较差异有统计学意义(p<0.05)。结论采用针刺配合康复护理干预措施能明显改善重型颅脑损伤患者的生存质量,提高其心理承受和社会适应能力。

Objective To probe into the effect of acupuncture and rehabilitation nursing on the quality of life in patients with severe craniocerebral injury. Method 56 cases of patients with severe craniocerebral injury trea- ted in our hospital from september 2009 to June 2011 were randomly divided into research group and control group with 28 cases in each group. Patients in the control group were given conventional medicine and nursing while patients in the research group were given acupuncture and rehabilitation nursing on that basis, and rele- vant indexes such as quality of hfe etc. of patients in the two groups were comparatively analyzed. Results Scores on neurologic function, psychological function, social function as well as material life of patients in the research group were significantly improved, which were remarkably higher than the control group （p〈0.05）. In the research group, motor function of paralyzed limbs （Fugl-Meyer score） and ability of daily activities （score on barthel index） were （81.63±21.87） and （80. 28±14. 53） while those in the control group were （53.12±20.37） and （56.71±13.29） respectively, and differences between the two groups were statistically significant （p〈0.05）. Conclusion Acupuncture and rehabilitation nursing intervention can significantly improve the quality of life in patients with severe craniocerebral injury and enhance their psychological and social adaptation ability.