早期康复护理对重型脑外伤患者认知功能及鼻饲并发症的影响

The Effect of Early Rehabilitation Nursing in the Cognitive Function and Nasal Feeding Complications for Patients with Severe Traumatic brain Injury

目的探讨早期康复护理对重型脑外伤患者认知功能及鼻饲并发症的影响。方法选取2010年1月至2012年6月于本院进行治疗的94例重型脑外伤患者为研究对象,将其随机分为对照组(常规护理干预组)47例和观察组(早期康复护理组)47例,后将两组患者干预前及干预后3个月的LOTCA评分及鼻饲并发症进行统计及比较。结果干预后3个月观察组的LOTCA评分各个指标均优于对照组,鼻饲并发症发生率低于对照组,P均<0.05,均有显著性差异。结论早期康复护理对重型脑外伤患者具有较为积极的影响,可明显改善患者的认知功能及降低鼻饲并发症。

Objective To investigate the effect of early rehabilitation nursing in the cognitive function and nasal feeding complications for patients with severe traumatic brain injury. Methods 94 patients with severe traumatic brain injury patients treated at our hospital from January 2010 to June 2012 were chosen as the research object. They were randomly divided into the control group of 47 cases （usual care intervention group） and observation group （early rehabilitation nursing group） of 47 cases. The LOTCA ratings and nasogastric complications before and three months after the intervention of the two groups were taken for statistics and comparison. Results 3 months after the intervention, the LOTCA score and indicators of the observation group were better than the control group, the nasogastric complication rate was lower than that of the control group, P 〈0.05, there were both significant differences. Conclusion Early rehabilitation care has a more positive impact on patients with severe brain trauma, and it can significantly improve the cognitive function of patients with and reduce nasal feeding complications.