阶段式康复护理对颅脑外伤患者术后肢体运动功能及神经功能的影响

Effect of staged rehabilitation nursing on postoperative limb motor function and nerve 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肢体运动功能及神经功能的影响。方法80例颅脑外伤患者随机分为2组,常规组患者给予常规康复护理,阶段式护理组患者给予阶段式康复护理,比较2组患者美国国立卫生研究院神经功能缺损量表(NIHSS)评分、肢体功能评分、独立性评分、认知水平评分与日常生活能力评分。结果阶段式护理组患者术后12周NIHSS评分低于常规组,上肢、下肢Fugl-Meyer评分以及上肢动作研究量表(ARAT)评分与功能独立性评估量表(FIM)评分均高于常规组,各项认知水平评分与蒙特利尔认知评估量表(MoCA)总评分均高于常规组,各项生活能力评分与日常生活活动能力评估量表(ADL)评分均高于常规组,差异均有统计学意义(P<0.05)。结论阶段式康复护理对颅脑外伤患者术后肢体运动功能及神经功能的影响显著。

Objective To investigate the effect of staged rehabilitation nursing on limb motor function and neurological function in patients with craniocerebral trauma.Methods Totally 80 patients with craniocerebral trauma were randomly divided into two groups.Patients in the routine group were given routine rehabilitation nursing,and patients in the staged nursing group were given staged rehabilitation nursing.The neurological deficit score(NIHSS),limb function score,independence score,cognitive level score and daily living ability score were compared between the two groups.Results The NIHSS score of staged nursing group was lower than that of routine group at 12 weeks after operation,the Fugl-Meyer scores of upper limb and lower limb and the Action Research Arm Test(ARAT)score and the Function Independent Measure(FIM)score of upper limb were higher than those of routine group,the cognitive level score and the total score of Montreal Cognitive Assessment Scale(MoCA)were higher than those of routine group,the life ability score and activities of daily living were higher than those of routine group,the score of Activity of Daily Life(ADL)was higher than that of routine group,and all the differences were statistically significant(P<0.05).Conclusion Staged rehabilitation nursing has significant effects on postoperative limb motor function and neurological function in patients with craniocerebral trauma.