分期康复护理在周围神经完全性损伤神经断端吻合术后患者中的应用  

Application of staged rehabilitation nursing in patients with complete peripheral nerve injury after nerve anastomosis surgery

作　　者：陈幸谊 梁晓青[1] 李晓纯[1] CHEN Xing-yi;LIANG Xiao-qing;LI Xiao-chun

机构地区：[1]佛山市中医院骨十三科,佛山市528000

出　　处：《护理实践与研究》2019年第5期153-156,共4页Nursing Practice and Research

摘　　要：目的探讨分期康复护理在周围神经完全性损伤患者神经断端吻合术后的应用效果,为提升周围神经完全性损伤患者术后康复方案制定提供参考。方法选择我院2015年2月至2017年1月收治的周围神经完全性损伤患者80例为研究对象,所有患者均行神经断端吻合术治疗,按照手术顺序编号,采用数字随机表法将患者等分为对照组和观察组。对照组患者按照常规护理路径实施术后护理,观察组患者行分期康复护理。两组患者均随访1年,比较两组患者术后3,6周及1年受损部位感觉功能恢复情况、运动功能恢复情况、发汗试验评定自主神经功能恢复情况、病损部位活动功能问卷得分。结果两组患者术后3周感觉功能恢复情况、运动功能恢复情况、自主神经功能恢复情况、病损部位活动功能问卷评分比较差异无统计学意义(P> 0. 05)。术后6周及1年观察组患者的感觉功能恢复情况、运动功能恢复情况、自主神经功能恢复(有汗率)均明显高于对照组(P <0. 05),病损部位活动功能问卷评分明显低于对照组(P <0. 05)。结论分期康复护理能明显提升周围神经完全性损伤患者神经断端吻合术后6周及1年的运动、感觉、自主神经功能恢复效果,提升患者病损部位功能活动能力,是更适合此类患者的一种康复模式,具有较高的临床价值。Objective To explore the application effect of staged rehabilitation nursing in patients with complete peripheral nerve injury after nerve anastomosis surgery, thus providing reference for the improvement of postoperative rehabilitation program in patients with complete peripheral nerve injury. Methods A total of 80 cases of patients with complete peripheral nerve injury admitted to our hospital from February 2015 to January 2017 were selected as the study subjects. All of these patients were treated with neurological anastomosis. They were numbered according to the order of surgery and were divided into control group and observation group with the same number of patients by random number table. The patients in the control group was treated with postoperative care according to the routine nursing path, and the patients in the observation group underwent staged rehabilitation nursing. The patients in both groups were followed up for 1 year. The sensory function recovery, motor function recovery, recovery of autonomic nerve function, and scores of activity function questionnaire of the lesion site were compared between the two groups at 2 weeks,6 weeks and 1 year after surgery. Results There was no significant statistical difference in postoperative sensory function recovery, motor function recovery, autonomic nerve function recovery, and of lesion site activity function questionnaire scores between the two groups at 3 weeks after the surgery( P >0.05). The recovery of sensory function, recovery of motor function, and recovery of autonomic nerve function (sweat rate) in the observation group were significantly higher than those in the control group at 6 weeks and one year after the surgery( P <0.05). The score of questionnaire for the active function of injury sites in the observation group was significantly lower than that of the control group( P <0.05). Conclusion Staged rehabilitation nursing can improve the recovery of exercise, sensory and autonomic function at 6 weeks and one year after neurological anastomos

关 键 词：周围神经完全性损伤 神经断端吻合术 分期康复护理 

分 类 号：R473.6[医药卫生—护理学]