脑出血微创术后早期快速康复的效果观察

Observation on the effect of early rapid rehabilitation of cerebral hemorrhage after minimally invasive surgery

目的分析脑出血微创术后早期快速康复的效果。方法选择2018年5月~2019年4月接受脑出血微创手术的60例患者作为对照组, 2019年5月~2020年4月接受脑出血微创手术的60例患者作为观察组。对照组术后采取常规护理干预,观察组术后在对照组的基础上采取早期快速康复护理干预。比较两组患者入院时及干预后日常生活活动能力量表(ADL)评分、美国国立卫生研究院卒中量表(NIHSS)评分、上下肢肌力评分及并发症发生情况。结果干预1、2周后,两组患者ADL评分均高于本组入院时,且观察组患者ADL评分(55.00±3.74)、(71.20±3.85)分均高于对照组的(43.01±4.61)、(59.00±7.43)分,差异具有统计学意义(P<0.05)。干预2周后,两组患者NIHSS评分低于本组入院时,且观察组患者NIHSS评分(4.23±1.02)分低于对照组的(7.05±2.47)分,差异具有统计学意义(P<0.05)。干预1、2周后,两组患者上肢、下肢肌力评分均高于本组入院时,且观察组患者均高于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为3.33%,低于对照组的13.33%,差异具有统计学意义(P<0.05)。结论对脑出血微创术后患者实施早期快速康复护理干预能够有效提高其日常生活活动能力,促进神经功能和肢体运动功能恢复,减少术后并发症,改善预后,值得临床应用。

Objective To analyze the effect of early rapid rehabilitation of cerebral hemorrhage after minimally invasive surgery.Methods There were 60 patients who underwent minimally invasive surgery for cerebral hemorrhage from May 2018 to April 2019 selected as the control group,and 60 patients who underwent minimally invasive surgery for cerebral hemorrhage from May 2019 to April 2020 as the observation group.The control group received conventional nursing intervention after surgery,and the observation group received early rapid nursing rehabilitation based on the control group.The activities of daily living(ADL)score,National Institutes of Health stroke scale(NIHSS)score and muscle strength score of upper and lower limbs at admission and after intervention,and occurrence of complications were compared between the two groups.Results After 1 and 2 weeks of intervention,the ADL scores of the two groups were higher than those at admission,and ADL scores(55.00±3.74)and(71.20±3.85)score of the observation group were higher than(43.01±4.61)and(59.00±7.43)points of the control group.All the difference was statistically significant(P<0.05).After 2 weeks of intervention,the NIHSS scores of the two groups were lower than those at admission,and the NIHSS score(4.23±1.02)points was lower than(7.05±2.47)points of the control group.All the difference was statistically significant(P<0.05).After 1 and 2 weeks of intervention,the muscle strength scores of upper and lower limbs of the two groups were higher than those at admission,and the observation group was higher than the control group.All the difference was statistically significant(P<0.05).The incidence of complications of the observation group was 3.33%,which was lower than 13.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion Early rapid rehabilitation nursing intervention for cerebral hemorrhage patients after minimally invasive surgery can effectively improve their activities of daily living,promote the recovery of nerve function and limb motor function,reduce postoperative complications,and improve the prognosis of patients.It is worthy of clinical application.