重型颅脑损伤患者应用康复护理及肢体功能训练的效果观察  

Effect of rehabilitation nursing and limb function training on patients with severe craniocerebral injury

作　　者：李静 LI Jing(Fushun Third People’s Hospital,Fushun 113004,China)

机构地区：[1]辽宁省抚顺市第三医院,113004

出　　处：《中国实用医药》2020年第31期170-172,共3页China Practical Medicine

摘　　要：目的探讨重症颅脑损伤患者应用康复护理和肢体功能训练的疗效。方法选择重型颅脑损伤患者60例作为研究对象,随机分为对照组和观察组,每组30例。对照组患者给予常规护理措施,观察组在常规护理基础上增加康复护理及肢体功能训练。比较两组患者治疗效果及干预前后美国国立卫生研究院卒中量表(NIHSS)评分、运动功能评分量表(Fugl-Meyer)评分。结果两组干预前NIHSS评分、Fugl-Meyer评分对比差异无统计学意义(P>0.05);干预后,观察组患者NIHSS评分(2.03±0.47)分明显低于对照组的(3.96±1.03)分, Fugl-Meyer评分(90.01±7.14)分明显高于对照组的(80.12±6.15)分,差异具有统计学意义(P<0.05)。干预后,观察组患者治疗总有效率90.0%明显高于对照组的66.7%,差异具有统计学意义(P<0.05)。结论康复护理联合肢体功能训练,对重型颅脑损伤患者具有良好的临床效果,能促进患者神经功能的恢复,早日康复回归社会,临床应用意义重大。Objective To discuss the efficacy of rehabilitation nursing and limb function training on patients with severe craniocerebral injury. Methods A total of 60 patients with severe craniocerebral injury as study subjects were randomly divided into control group and observation group, with 30 cases in each group. The control group received conventional nursing, and the observation group received rehabilitation nursing and limb function training on the basis of conventional nursing. The therapeutic effect, National Institutes of Health stroke scale(NIHSS) score, motor function score scale(Fugl-Meyer) score before and after intervention were compared between the two groups. Results Before treatment, there was no statistically significant difference in NIHSS score and Fugl-Meyer score between the two groups between the two groups(P>0.05). After intervention, NIHSS score(2.03±0.47) points of the observation group was obviously lower than(3.96±1.03) points of the control group, and Fugl-Meyer score(90.01±7.14) points was obviously higher than(80.12±6.15) points, and the difference was statistically significant(P<0.05). After intervention, the total effective rate of treatment 90.0% of the observation group was obviously higher than 66.7% of the control group, and the difference was statistically significant(P<0.05). Conclusion Rehabilitation nursing combined with limb function training has a good clinical effect on patients with severe head injury, which can promote the recovery of patients’ nerve function, and help them return to society as soon as possible. It is of great significance in clinical application.

关 键 词：重型颅脑损伤 康复护理 功能训练 

分 类 号：R473.6[医药卫生—护理学]