针对性护理干预对急性脑梗死患者取栓术后并发症控制及肢体功能康复的影响研究  

Effects of Targeted Nursing Intervention on Control of Complications and Rehabilitation of Limb Function in Patients with Acute Cerebral Infarction after Thrombectomy

作　　者：高海荣 

机构地区：[1]山东省聊城市第三人民医院,山东聊城252000

出　　处：《中国医药指南》2017年第12期24-25,共2页Guide of China Medicine

摘　　要：目的探讨针对性护理干预对急性脑梗死患者取栓术后并发症控制及肢体功能康复的影响。方法选取我院收治的120例急性脑梗死患者进行研究,所有患者均接受数字减影全脑血管造影(DSA)取栓术治疗,以随机数字表法将患者分为两组,对照组(n=60例)在取栓术后行常规护理干预,观察组(n=60例)在取栓术后则实施针对性护理干预措施,对两组患者干预后并发症发生情况、肢体功能康复情况及神经功能恢复情况进行比较分析。结果采用不同方式干预后观察组患者临床疗效明显优于对照组(P<0.05);干预后观察组患者并发症发生率为6.7%,明显高于对照组的23.0%(P<0.05);且干预前两组患者神经功能缺损评分(NIHSS)及Fugl-Meyer运动量表(FMA)评分比较均无较大差异(P>0.05);经不同方式干预后观察组患者NIHSS评分及FMA评分均明显优于对照组(P<0.05)。结论采用针对性护理干预方式对急性脑梗死取栓术后患者进行护理干预效果显著,有利于改善患者肢体功能及神经缺损症状,并可减少并发症发生,临床价值显著,可在临床上推广应用。Objective To investigate the effectof targeted nursing intervention on the control of complications and the recovery of limb function after thrombectomy in patients with acute cerebral infarction. Method A total of 120 patients with acute cerebral infarction patients in our hospital were studied. All patients underwent DSA （DSA） embolectomy, randomly divided the patients into two groups, the control group （n=60 cases） underw^nt thrombectomy in routine nursing intervention, the observation group （n=60 cases） in embolectomy after the implementation of targeted nursing intervention, the two groups of patients with intervention complications, rehabilitation of limb function and nerve function recovery were compared. Result By using different ways after the intervention, the clinical curative effect of observation group were significantly better than the control group （P〈0.05）; the intervention of the complication rate of observation group was 6.7%, significantly higher than the control group 23%（P〈0.05）; and the two groups before the intervention in patients with neuro｜ogical deficit score （NIHSS） scale and Fugl-Meyer （FMA） scores were not the larger the difference （P〉0.05）; by different ways after the intervention of the patients in the observation group NIHSS score and FMA score were significantly better than the control group （P〈0.05）,Conclusion The use of targeted nursing intervention on patients with acute cerebral infarction after thrombectomy in patients with nursing intervention effect, improve symptoms in patients with defect of limb function and nerve, and can reduce the incidence of complications and significant clinical value, can be widely applied in clinical prattle.

关 键 词：对性护理干预 急性脑梗死 肢体功能 

分 类 号：R473.74[医药卫生—护理学]