颅脑外伤开颅术后早期系统康复训练护理成效

Nursing Effect of Early Systemic Rehabilitation Training after Craniocerebral Trauma

目的探讨颅脑外伤患者开颅术后早期系统康复训练护理临床效果。方法方便选取该院2016年1月-2018年10月收治的60例颅脑外伤开颅术后患者,随机分为对照组和观察组各30例。对照组给予颅脑外科术后常规护理和康复指导,观察组在对照组基础上实施早期系统康复训练护理干预。干预4周后对比两组患者术后运动功能变化(Fugl-Meyer运动功能积分法)、神经功能缺损(NFD)、认知功能(MMSE评估法)、日常生活能力(以Barthel指数MBI评估ADL)等变化情况。结果干预后,观察组患者Fugl-Meyer运动功能评价各项目得分分别为平衡(10.97±3.52)分、感觉(17.97±7.08)分、运动功能(64.32±8.45)分、关节活动度(26.37±8.79)分、疼痛(26.97±8.52)分,总分(142.75±10.85)分。对照组为平衡(7.94±4.14)分、感觉(13.52±5.16)分、运动功能(51.12±6.81)分、关节活动度(20.18±8.25)分、疼痛(20.37±8.15)分,总分(112.42±11.25)分,观察组总体水平明显高于对照组(t=3.054 0、2.782 1、6.661 9、2.812 4、3.066 0、0.896 7);干预后,观察组NFD(15.68±9.52)分、MMSE(20.38±1.42)分、MBI(77.28±18.45)分,对照组NFD(23.15±8.54)分、MMSE(12.45±1.34)分、MBI(52.34±22.43)分,观察组提升幅度又明显高于对照组,差异有统计学意义(t=-3.199 2、22.246 3、4.703 4,P<0.05)。结论早期系统康复训练可明显改善颅脑外伤开颅术后患者运动功能,促进认知功能恢复,加快康复进程,显著提高患者生存质量。

Objective To investigate the clinical effect of early systemic rehabilitation training for patients with craniocerebral trauma after craniotomy. Methods Sixty patients with craniocerebral trauma after craniotomy from January 2016 to October 2018 were convenient divided into control group and observation group. The control group was given routine nursing and rehabilitation guidance after craniocerebral surgery, and the observation group implemented early systemic rehabilitation training and nursing intervention on the basis of the control group. After 4 weeks of intervention, the changes of postoperative motor function (Fugl-Meyer motor function integration method), neurological deficit (NFD), cognitive function (MMSE evaluation method), and daily living ability (evaluation of ADL with Barthel index MBI) were compared between the two groups. Such changes. Results After intervention, the scores of Fugl-Meyer motor function evaluation in the observation group were balanced (10.97±3.52)points, sensation (17.97±7.08)points, motor function (64.32±8.45)points, and joint activity (26.37±8.79) points, pain (26.97±8.52) points, a total score of 142.75 points. The control group was balanced (7.94±4.14)points, sensory (13.52±5.16)points, motor function (51.12±6.81)points, joint mobility (20.18±8.25)points, pain (20.37±8.15)points, total score 112.42. The overall level of the observation group was significantly higher than that of the control group(t=3.054 0,2.782 1,6.661 9,2.812 4,3.066 0,0.896 7);after intervention, the observation group NFD (15.68±9.52)points, MMSE (20.38±1.42)points, MBI (77.28±18.45) points, control group NFD (23.15±8.54) points, MMSE (12.45±1.34) points, MBI (52.34±22.43)points, the observation group was significantly higher than the control group, the difference was statistically significant(t=-3.192,22.246 3,4.703 4,P<0.05). Conclusion Early systemic rehabilitation training can significantly improve the motor function of patients with craniocerebral trauma after craniotomy, promote cognitive function recovery, speed up the recovery process, and significantly improve the quality of life of patients.