阶段式康复护理对颅脑外伤患者术后肢体运动及神经功能的影响

Effect of staging rehabilitation nursing on postoperative motor function and neurological function in patients with craniocerebral trauma

目的探讨阶段式康复护理对颅脑外伤患者术后功能恢复的影响。方法将80例颅脑外伤手术患者随机分为2组各40例,对照组术后给予常规护理,观察组在常规护理基础上采用阶段式康复护理,比较2组术后肢体运动功能、神经功能的恢复情况,统计并发症、住院时间及预后。结果观察组1个月后NIHSS评分低于对照组,上肢Fugl-Meye、下肢FuglMeye评分均高于对照组(P<0.05);观察组术后并发症少于对照组,住院时间短于对照组,预后优良率高于对照组(P<0.05)。结论阶段式康复护理遵循颅脑外伤术后恢复的特点,能够显著促进患者术后的肢体运动功能和神经功能康复。

Objective To investigate the effect of staging rehabilitation nursing on postoperative functional recovery of patients with craniocerebral trauma. Methods Eighty patients with craniocerebral trauma were randomly divided into two groups,40 cases in each group. Control group was given conventional nursing,while observation group was given staging rehabilitation nursing based on the control group. Recovery of limb motor function,neurological function,the complications,hospitalization time and prognosis were compared between the two groups. Results The NIHSS score after 1 month in the observation group was lower than that in the control group,the Fugl-Meye scores of the upper limb and the lower limb were higher than those in the control group,and there were significant differences（ P〈0. 05）. The postoperative complications in the observation group were less than those in the control group,the length of hospital stay was shorter than the control group,the prognosis was better than the control group,and there were significant differences（ P〈0. 05）. Conclusion According to the characteristics of the recovery of brain injury,staging type rehabilitation nursing can significantly promote the recovery of limb motor function and neurological function after surgery.