早期康复护理对重型颅脑损伤术后偏瘫患者康复效果的影响

Effect of early rehabilitation nursing on rehabilitation of patients with hemiplegia after severe craniocerebral injury

目的探讨早期康复护理干预对重型颅脑损伤术后偏瘫肢体康复效果的影响。方法 2016年1月至2017年12月,随机选取我院收治的重型颅脑损伤术后偏瘫患者88例为研究对象,根据其入院序号奇偶数均分为对照组和观察组,各44例。对照组行常规护理干预,观察组在此基础上行早期康复护理干预,比较两组的关节运动功能、并发症发生率、生活质量及日常生活能力。结果观察组FM评分优良率高于对照组(P<0.05);观察组关节痉挛、关节脱位、肌肉萎缩的发生率均低于对照组(P<0.05);护理3个月后,两组生活质量、日常生活能力评分均升高,且观察组高于对照组(P<0.05)。结论重型颅脑损伤术后偏瘫患者行早期康复护理干预效果显著,推荐临床推广。

Objective To explore the effect of early rehabilitation nursing intervention on rehabilitation of hemiparalysislimbs after severe craniocerebral injury. Methods From January 2016 to December 2017, a total of 88 patients with severecraniocerebral injury treated in our hospital were randomly selected as study objects, and averaged divided into controlgroup and observation group according to the odd or even of admission numbers, with 44 cases in each group. The controlgroup was given routine nursing intervention, and the observation group was given early rehabilitation nursing interventionon this basis. The joint motor function, complication rate, quality of life and daily living ability were compared between thetwo groups. Results The excellent and good rate of FM score in the observation group was higher than that in the control group（P〈0.05）. The incidences of articular convulsion, joint dislocation and muscle atrophy in the observation group were lowerthan those in the control group（P〈0.05）. After 3 months of nursing, the scores of quality of life and daily living ability in thetwo groups increased, and those in the observation group were higher than the control group（P〈0.05）. Conclusion The effectof early rehabilitation nursing intervention on patients with hemiplegia after severe craniocerebral injury is significant, andclinical promotion is recommended.