早期护理康复干预对急性脑梗塞患者的临床疗效

Clinical effect of early nursing recovery intervention on patients with acute cerebral infarction

目的观察探讨期护理康复干预对急性脑梗塞患者的临床疗效。方法选取我院2013年10月到2015年12月收纳的98例急性脑梗塞患者,随机分为观察组和对照组,各49例。对照组仅采取常规护理方法,观察组在对照组基础治疗上,采取早期护理康复干预治疗连续进行一年。观察两组患者治疗前后美国国立卫生院神经功能缺损(NHISS)评分变化情况来评估患者神经康复情况,在干预前,干预后14天及30天评估患者血清超敏C反应蛋白(hs-CRP)值。且比较护理结束后两组患者的护理满意程度。结果两组患者在干预前及干预后14天NHISS评分,组间差异不具有统计学意义(P>0.05)。干预一个月后,观察组评分显著低于对照组,差异具有统计学意义(P<0.05).两组患者在干预前及干预后14天血清hs-CRP值,组间差异不具有统计学意义(P>0.05)。在干预后一个月,观察组血清hs-CRP低于对照组,差异具有统计学意义(P<0.05)。护理干预后观察组的护理满意度(95.9%)明显高于对照组(83.7%),差异有统计学意义(P<0.05)。结论早期护理康复干预对急性脑梗塞患者疗效显著,可更好地修复患者神经系统缺损,降低患者神经系统炎症反应,且患者对护理满意程度较高,值得临床上进一步推广应用。

Objective To observe the clinical effect of early nursing recovery intervention on patients with acute cerebral infarction. Methods 98 cases of patients with acute cerebral infarction were selected in our hospital ifrom October 2013 to December 2015,then all the patients were randomly divided into the observation group and the control group,49 cases for each group. These patients in the control group were given routine nursing measures and those patients in the observation group were given early nursing recovery intervention on the basis of the routine one. The nursing intervention lasted for 1 year. Then before and 14 days,30 days after nursing intervention the NHISS scores,hs-CRP tested in the serum and nursing satisfaction rate between the two groups were evaluated and compared. Results There was no significant differences of NHISS scores before and 14 days after nursing intervention between the two groups（P0.05）. 30 days after nursing intervention,NHISS scores of the observation group were significantly lower than that of the control group（P0.05）. There was no significant differences of hs-CRP before and 14 days after nursing intervention between the two groups（P0.05）. 30 days after nursing intervention,hs-CRP of the observation group were significantly lower than that of the control group（P0.05）. After nursing intervention,the nursing satisfaction rate of the observation group（95.9%）was significantly higher than that of the control group（83.7%）,the difference was statistically significant（P0.05）. Conclusion Early nursing recovery intervention can make significant difference in the curative effect on acute cerebral infarction patients and can be better to repair the nervous system defect and decrease the inflammatory reaction of the nervous system,and the nursing satisfaction rate of patients is higher. Thus,it is worthy of clinical application and promotion.