路径式康复护理模式对职业性慢性正己烷中毒患者四肢运动功能的影响  

Impact of extremities functional in patients with occupational chronic n-hexane intoxication intervened by path of rehabilitation nursing mode

作　　者：巫带花[1] 邱新香[1] 甘雯珍[1] 汤春宜[1] 梁智平[1] 陈新梅[1] 温绿琴[1] 曾向嫩[1] 

机构地区：[1]广东省职业病防治院中毒防治所,广州510300

出　　处：《临床护理杂志》2017年第6期14-17,共4页Journal of Clinical Nursing

基　　金：国家科技支撑计划项目(2014BA112B01);广东省医学科研基金(A2014075)

摘　　要：目的探讨路径式康复护理模式对职业性慢性正己烷中毒患者四肢运动功能的影响。方法选取2013年6月~2016年6月我院收治的68例职业性慢性正己烷中毒患者作为研究对象,根据随机数字表法分为对照组和研究组,各34例。两组均给予营养神经、改善循环及细胞代谢等基础治疗。对照组给予常规康复指导。研究组在对照组的基础上应用临床康复路径实施康复训练。观察两组干预前和干预3个月后四肢肌力和神经传导速度的变化,并评估两组临床疗效。于干预6个月后采用Barthel指数评分量表评定两组日常生活活动能力(ADL)。结果研究组干预3个月后上肢近端、上肢远端、下肢近端和下肢远端肌力均明显高于对照组(P<0.05);研究组干预3个月后运动功能和感觉功能明显优于对照组(P<0.05);研究组干预3个月后正中神经、尺神经和腓总神经的运动神经传导速度(MCV)和感觉神经传导速度(SCV)明显优于对照组(P<0.05);研究组干预6个月后ADL评分明显高于对照组(P<0.05)。结论临床康复路径的实施可有效改善职业性慢性正己烷中毒患者的四肢运动功能,提高患者日常生活活动能力和生活质量。Objective To discuss the impact of extremities functional in patients with occupational chronic n-hexane intoxication intervened by path of rehabilitation nursing mode.Methods 68 patients with occupational chronic n-hexane intoxication from June 2013 to June 2016 were randomly selected as research objects and divided into control group(n=34)and research group(n=34).The patients in two groups were accepted with basic treatments including trophic nerve,improvement of circulation and cell metabolism.Patients of control group were accepted with conventional rehabilitation guidance,while patients of research group were accepted with application of clinical path implementation of rehabilitation training on the basic of the control group.Observed the nerve conduction velocity and limbs muscles strength before interventions and after 3-months interventions,and evaluated the clinical effects.Evaluated the activity of daily living(ADL)by Barthel index before interventions and after 6-months interventions.Results The muscle strength of proximal arm,upper limbs distal,proximal limb and lower limb distal in research group after 3-months interventions were higher than that in control group,differences were statistically significant(P<0.05).The motor function and sensory function in research group after 3-months interventions were better than that in control group.The differences were statistically significant(P<0.05).The MCV and SCV of median nerve,ulnar nerve,common peroneal nerve in research group after 3-months interventions were batter than that in control group.The differences were statistically significant(P<0.05).The ADL score in the research group after 6-months interventions was higher than that in control group.The differences were statistically significant(P<0.05).Conclusions Path of rehabilitation nursing mode uses in patients occupational chronic n-hexane intoxication can effectively improve extremities functional,activity of daily living and quality of life.It is worthy of clinical use.

关 键 词：康复护理 正己烷中毒 四肢运动功能障碍 

分 类 号：R478[医药卫生—护理学]