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 the Rehabilitation of Patients with Severe Craniocerebral Injury and Hemiplegic after Operation

目的:观察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。方法:选取本院70例重型颅脑损伤术后偏瘫患者。根据护理方法不同将其分为对照组和观察组,各35例。对照组采用常规护理,观察组在对照组基础上采用早期康复护理,两组护理时间均为3个月。比较两组神经系统功能恢复程度,智力状态(MMSE量表)、肢体运动功能(Fugl-Meyer量表)、认知功能(LOTCA量表)、生活质量(SF-36量表)。结果:观察组总恢复率为94.29%高于对照组77.14%(P<0.05)。护理后,观察组MMSE、Fugl-Meyer、LOTCA评分均高于对照组(P<0.05),观察组健康感觉、躯体功能、情感状态及社会功能评分均高于对照组(P<0.05)。结论:早期康复护理可促进重型颅脑损伤术后偏瘫患者神经系统功能恢复,并明显改善患者精神状态、肢体运动功能、认知功能及生活质量。

Objective:To observe the effect of early rehabilitation nursing on the rehabilitation of patients with severe craniocerebral injury and hemiplegic after operation.Method:A total of 70 patients with severe craniocerebral injury and hemiplegic after operation were selected.According to different nursing methods,they were divided into control group and observation group,35 cases in each group.The control group was given routine nursing,while observation group was given early rehabilitation nursing on the basis of control group,the nursing time of both groups was 3 months.The recovery degree of nervous system function,mental state(MMSE scale),limb motor function(Fugl-Meyer scale),cognitive function(LOTCA scale)and quality of life(SF-36 scale)between two groups were compared.Result:The total recovery rate of observation group was94.29%,higher than 77.14%of control group(P<0.05).After nursing,the scores of MMSE,Fugl-Meyer and LOTCA in observation group were higher than those of control group(P<0.05),the scores of health feeling,physical function,emotional state and social function in observation group were higher than those of control group(P<0.05).Conclusion:Early rehabilitation nursing can promote the recovery of nervous system function in patients with hemiplegia after severe craniocerebral injury,significantly improve their mental state,limb motor function,cognitive function and quality of life.