超早期康复护理在桥脑梗死患者中的应用效果  

Application effects of super early rehabilitation nursing in patients with pontine infarction

作　　者：叶秋桠 郭志娟 冯丽娟[2] 于辉 吕学海[1] 刘运平[1] 赵玉芹[1] 王立哲[1] 段海丽[1] YE Qiuya;GUO Zhijuan;FENG Lijuan(Department of Rehabilitation Medicine,Handan Central Hospital,Hebei,Handan 056000,China)

机构地区：[1]河北省邯郸市中心医院康复医学科,056000 [2]河北省邯郸市中心医院检验科,056000 [3]河北省邯郸市中心医院妇科,056000

出　　处：《河北医药》2020年第17期2708-2710,2714,共4页Hebei Medical Journal

摘　　要：目的探讨超早期康复护理在桥脑梗死患者中的应用效果。方法选择2017年6月至2018年6月诊治的106例急性桥脑梗死患者,按照随机数字表法分为对照组和观察组,每组53例。对照组实施常规护理干预,观察组实施超早期康复护理干预,比较2组护理效果、护理满意度。观察2组护理前后神经功能、肢体运动功能、日常生活活动能力、血清神经因子变化。结果观察组护理总有效率、护理满意度分别为90.57%、96.23%,对照组护理总有效率、护理满意度分别为71.70%、83.02%。观察组护理总有效率和护理满意度均明显高于对照组(P<0.05)。2组护理前神经功能缺损程度评分(NIHSS评分)、Fug-Meyer运动功能评估量表(FMA评分)、改良Barthel指数(MBI评分)及血清神经元特异性烯醇化醇(NSE)、中枢神经特异蛋白(S100β)、髓鞘碱性蛋白(MBP)比较差异无统计学意义(P>0.05);与护理前比较,2组护理后NIHSS评分及血清NSE、S100β、MBP均明显降低,FMA评分、MBI评分均明显升高(P<0.05),且观察组以上指标变化程度更明显(P<0.05)。结论对桥脑梗死患者实施超早期康复护理干预能够有效提高护理效果和护理满意度,促进患者神经功能、肢体运动功能、日常生活活动能力恢复,并降低血清神经因子水平,值得临床推广。Objective To investigate the application effects of super early rehabilitation nursing in patients with pontine infarction.Methods A total of 106 patients with pontine infarction who were treated in our hospital from Jun 2017 to Jun 2018 were enrolled in the study,who were divided into control group(n=53)and observation group(n=53)according to random digital table.The patients in control group were given routine nursing intervention,however,the patients in observation group were given super early rehabilitation nursing intervention.The nursing efficacy and nursing satisfaction degree,and the chaanges of neurological function,motor function,self-care ability in life as well as serum neurologic factors before and after nursing were observed and compared between the two groups.Results The total effective rate and nursing satisfaction in observation group were 90.57%,96.23%,respectively,which were significantly higher than those(71.70%and 83.02%)in control group(P<0.05).Before nursing,there were no significant differences in NIHSS scores,FMA scores,MBI scores and serum levels of NSE,S100βand MBP between the two groups(P>0.05).After nursing,the NIHSS scores and serum levels of NSE,S100βand MBP in both groups were significantly decreased,however,the FMA scores and MBI scores in both groups were significantly increased(P<0.05).Moreover the above indexes in observation group were superior to those in control group(P<0.05).Conclusion The application of super early rehabilitation nursing intervention in treatment pontine infarction can improve the nursing efficacy and nursing satisfaction degree,improve neurological function,motor function and activities of daily living of patients,and can decrease the serum levels of neurologic factors,therefor,it is worthy of clinical promotion.

关 键 词：超早期康复护理 桥脑梗死 治疗结果 

分 类 号：R493[医药卫生—康复医学]