早期康复在创伤性颅脑损伤患者中的临床效果  

Clinical Effect of Early Rehabilitation in Patients with Severe Traumatic Brain Injury

作　　者：陈炎堂[1] 张鹏[1] 骆兆健 CHEN Yantang;ZHANG Peng;LUO Zhaojian(Jiangmen Central Hospital,Jiangmen 529030,China)

机构地区：[1]江门市中心医院,广东江门529030

出　　处：《中外医学研究》2021年第1期174-177,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨早期康复在重型创伤性颅脑损伤(traumatic brain injury,TBI)患者中的临床效果。方法:选取2019年1-6月重症医学科的42例TBI患者为对照组,接受常规的治疗及护理;选取2019年7-12月重症医学科收治的49例TBI患者为研究组,接受早期康复治疗。比较两组Fugl-Meyer评分、APACHEⅡ评分、不良事件发生率、机械通气时间、ICU住院时间。结果:治疗后,对照组Fugl-Meyer评分为(18.99±4.21)分,低于研究组的(21.97±5.01)分(P<0.05);治疗后,对照组APACHEⅡ评分为(11.24±2.19)分,高于研究组的(9.26±2.67)分(P<0.05)。两组心律失常、血流动力学改变、非计划性拔管发生率比较差异无统计学意义(P>0.05)。研究组机械通气时间为(8.46±3.01)d,研究组ICU住院时间为(11.79±4.76)d,均短于对照组(P=0.001、0.000)。结论:早期康复治疗能改善TBI患者神经功能与运动功能,缩短ICU住院时间及机械通气时间,且并不会增加相关不良事件的发生率。Objective:To explore the clinical effect of early rehabilitation in patients with severe traumatic brain injury (TBI).Method:A total of 42 patients with TBI in the Department of Intensive Medicine from January to June 2019 were selected as the control group and received routine treatment and nursing;49 patients with TBI in the Department of Intensive Medicine from July to December 2019 were selected as the study group and received early rehabilitation treatment.The Fugl-Meyer score,the APACHE Ⅱ score,the incidence of adverse events,the time of mechanical ventilation,and the ICU stay time between the two groups were compared.Result:After treatment,the Fugl-Meyer score was (18.99±4.21) points in the control group,which was lower than (21.97±5.01) points in the study group (P<0.05).After treatment,the APACHEⅡ score of the control group was (11.24±2.19) points,which was higher than (9.26±2.67) points of the study group (P<0.05).There were no statistically significant differences between the two groups in the incidence of arrhythmia,hemodynamic changes and unplanned extubation (P>0.05).The time of mechanical ventilation of the study group was (8.46±3.01) d,and the ICU stay time of the study group was (11.79±4.76) d,which were shorter than those of the control group (P=0.001,0.000).Conclusion:Early rehabilitation treatment can improve the nerve function and motor function of TBI patients,shorten the ICU stay time and mechanical ventilation time,and it will not increase the incidence of related adverse events.

关 键 词：创伤性颅脑损伤 早期康复 神经功能 运动功能 

分 类 号：R473.6[医药卫生—护理学]