分段梯度随访模式对重型颅脑外伤患者神经功能及日常生活能力的影响

The Impact of Segmental Gradient Follow-up Pattern on Neurological Function and Daily Living Ability of Patients with Severe Traumatic Brain Injury

目的探讨分段梯度随访模式对重型颅脑外伤患者神经功能及日常生活能力的影响。方法选取2014年6月~2016年6月我院收治的120例重型颅脑外伤患者,根据随机数字表法将患者分为观察组和对照组,各60例。对照组行常规出院指导及家庭随访。观察组在对照组的基础上应用分段梯度随访模式,干预时间为6个月。分别于干预前、干预后1、3、6个月应用美国国立卫生院神经功能缺损程度(NIHSS)评分、日常生活能力(ADL)及简易健康调查量表(SF-36)对两组神经功能、日常生活能力及生活质量进行评价。结果观察组干预1个月、3个月、6个月NIHSS评分低于对照组,ADL评分、SF-36评分均高于对照组(P<0.05)。结论分段梯度随访模式能有效改善重型颅脑外伤患者神经功能,提高患者日常生活能力及生活质量。

Objective To explore the impact of segmental gradient follow-up pattern on neurological function and daily living ability of patients with severe traumatic brain injury.Methods 120 cases of patients with severe traumatic brain injury were randomly divided into observation group （n=60） and control group （n=60） from June 2014 to June 2016.Two groups were followed up for 6 months.The neurological function, daily living ability and quality of life of the two groups were evaluated with National Institutes of Health neurological deficit （NIHSS） score, ability of daily living （ADL）, Simple Health Survey Scale （SF-36）.Results The score of NIHSS in the observation group was significantly lower than that in the control group （P 〈0.05） at 1 month, 3 months and 6 months after intervention, but the ADL score and the SFL score at 1 month, 3 months and 6 months after intervention-36 were higher than those in the control group （P〈0.05）.Conclusion Segmental gradient follow-up model can effectively improve neurological function in patients with severe craniocerebral trauma, improve the quality of daily life and quality of life.