急性脑血栓早期康复护理对降低脑血栓患者致残率的效果观察

Observation on the Effect of Early Rehabilitation Nursing of Acute Cerebral Thrombosis on Reducing the Disability Rate of Patients with Cerebral Thrombosis

目的了解急性脑血栓早期康复护理对降低脑血栓患者致残率的效果。方法将我院2015年1月至2018年6月的70例急性脑血栓患者,随机分组,常规护理干预组给予一般护理,早期康复组开展早期康复护理。比较两组满意度;住院平均时间以及肢体功能好转时间;护理前后血液流变学指标水平;致残率。结果早期康复组的满意度是35例(100.00%),常规护理干预组则是28例(80.00%),P <0.05。护理前两组血液流变学指标水平接近,P> 0.05;护理后早期康复组血液流变学指标水平优于常规护理干预组,P <0.05。早期康复组住院平均时间以及肢体功能好转时间优于常规护理干预组,P <0.05,早期康复组致残率更少,P <0.05。早期康复组出现1例,常规护理干预组出现了8例。结论急性脑血栓患者实施早期康复护理效果确切,可有效加速肢体功能好转,缩短住院的时间,改善患者的大脑前动脉速度(m/s)、大脑后动脉速度,降低致残率,提高患者的满意度。

Objective To understand the effect of early rehabilitation nursing for acute cerebral thrombosis on reducing the disability rate of patients with cerebral thrombosis. Methods 70 patients with acute cerebral thrombosis in our hospital from January 2015 to June 2018 were randomly divided into two groups. The routine nursing intervention group was given general nursing, and the early rehabilitation group was given early rehabilitation nursing. Compare the satisfaction of the two groups;average hospitalization time and limb function improvement time;hemorheological index level before and after nursing;disability rate. Results The satisfaction of early rehabilitation group was 35 cases(100.00%), while that of routine nursing intervention group was 28 cases(80.00%), P<0.05. The level of hemorheological indexes in the two groups before nursing was close, P>0.05;the level of hemorheological indexes in the early rehabilitation group after nursing was better than that in the routine nursing intervention group, P<0.05. The average hospitalization time and limb function improvement time of the early rehabilitation group were better than those of the routine nursing intervention group(P<0.05), and the disability rate of the early rehabilitation group was lower(P<0.05). There were 1 case in early rehabilitation group and 8 cases in routine nursing intervention group. Conclusion Early rehabilitation nursing for patients with acute cerebral thrombosis is effective, which can effectively accelerate the improvement of limb function, shorten hospitalization time, improve the speed of anterior cerebral artery(m/s) and posterior cerebral artery, reduce disability rate and improve patient satisfaction.