早期康复护理对肠内营养治疗的高血压颅内出血患者预后的影响  

The Impact of Early Enteral Nutrition Therapy Rehabilitati on Nursing on the Prognosis of Patients with Hypertensive Intracerebral Hemorrhage

作　　者：姜晏[1] 代林林[1] 崔海琳 付安安[1] 冬雪[1] 曲学华[1] 刘路然[1] 

机构地区：[1]哈尔滨医科大学附属第四医院神经内科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2014年第4期776-778,775,共4页Progress in Modern Biomedicine

基　　金：黑龙江省科技计划项目(GC12C306-3)

摘　　要：目的：研究早期康复护理对肠内营养治疗的高血压颅内出血患者预后的影响。方法：选取2010年1月-2012年10月间入院诊治的高血压颅内出血并应用肠内营养支持治疗的患者120例，随机分为实验组（60例）和对照组（60例）。，对照组应用常规护理办法，实验组在其基础上应用早期康复护理，随访1年后观察两组患者预后的生活质量情况、GCS（格拉斯哥昏迷指数）评分以及并发症的发生情况。结果：随访1年后，实验组的生活质量显著高于对照组（P〈0．05）；护理干预前两组患者的GCS评分无差异，护理干预后实验组的GCS评分显著高于对照组（P〈0．05）；实验组在肺部感染、下肢静脉血栓、肩手综合征等并发症的发生例数均显著低于对照组（P〈0．05）。结论：针对肠内营养支持治疗的高血压颅内出血患者应用早期康复护理可有效改善患者的昏迷程度、预防并发症，有助于提高患者的生活质量。Objective： To study the early rehabilitation nursing on enteral nutrition therapy in hypertensive patients with intracranial hemorrhage prognosis. Methods： January 2010 - October 2012 among hospitalized hypertensive intracerebral hemorrhage and enteral nutrition support therapy 120 patients were randomly divided into experimental group （60 cases） and control group （60 cases）. The control group used conventional care options, the experimental group was in its application on the basis of early rehabilitation care after 1 year prognosis observed in patients＇ quality of life situation, GCS （Glasgow Coma Scale） score and the occurrence of complications. Results： After 1 year, the laboratory＇s quality of life was significantly higher （P 〈0.05）; nursing intervention in patients with GCS scores first two groups did not differ nursing intervention GCS score of the experimental group was significantly higher （P 〈0.05）; experimental group lung infection, deep vein thrombosis, shoulder-hand syndrome and other complications number of cases were significantly lower than the control group （P 〈0.05）. Conclusion： Enteral nutrition therapy for hypertensive patients with intracranial hemorrhage early rehabilitation nursing can effectively improve the patient＇s unconscious level, prevention of complications, help to improve the patient＇s quality of life.

关 键 词：早期康复护理 肠内营养 高血压颅内出血 预后 影响 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R473[医药卫生—临床医学]