早期肠内营养及护理干预对急性脑出血患者颅骨钻孔术后康复效果的影响  

The Effect of Early Enteral Nutrition and Nursing Intervention on the Rehabilitation Effect of Patients with Acute Cerebral Hemorrhage after Skull Drilling

作　　者：曹美香 周素敏 CAO Meixiang;ZHOU Sumin(Department of Neurosurgery,Heze Municipal Hospital,Heze,Shandong Province,274000 China)

机构地区：[1]菏泽市立医院神经外科,山东菏泽274000

出　　处：《系统医学》2021年第14期150-153,共4页Systems Medicine

摘　　要：目的探讨早期肠内营养及护理干预对急性脑出血患者颅骨钻孔术后康复效果的影响。方法随机选取2019年1月—2020年1月该院88例急性脑出血患者,均行颅骨钻孔术。抽签法分为两组:对照组(n=44)实施常规护理,研究组(n=44)实施早期肠内营养、护理干预。比较两组干预效果。结果术后2周,研究组血清白蛋白(ALB)、血红蛋白(Hb)、前白蛋白(PA)水平分别为(38.12±3.25)g/L、(105.51±20.63)g/L、(248.55±28.15)mg/L,高于对照组(35.86±3.78)g/L、(95.65±21.06)g/L、(235.66±26.75)mg/L,差异有统计学意义(t=3.007、2.219、2.202,P=0.003、0.029、0.030);研究组遵医依从率(88.64%)高于对照组(68.18%),差异有统计学意义(χ^(2)=5.437,P=0.020);干预后,研究组CSS评分为(8.03±2.26)分,低于对照组(9.36±3.15)分,差异有统计学意义(t=2.276,P=0.025);干预后,研究组FIM评分为(96.12±10.65)分,高于对照组(89.96±11.06)分,差异有统计学意义(t=2.661,P=0.009)。结论急性脑出血颅骨钻孔术患者护理中实施早期肠内营养、护理干预可改善营养状况、依从性,提升康复效果。Objective To investigate the effect of early enteral nutrition and nursing intervention on the rehabilitation effect of patients with acute cerebral hemorrhage after skull drilling.Methods A random selection of 88 patients with acute cerebral hemorrhage in the hospital from January 2019 to January 2020 underwent skull drilling.The lottery method was divided into two groups:the control group(n=44)implemented routine nursing care,and the study group(n=44)implemented early enteral nutrition and nursing intervention.Compare the intervention effects of the two groups.Results Two weeks after operation,the levels of serum albumin(ALB),Hemoglobin(Hb),and prealbumin(PA)in the study group were(38.12±3.25)g/L,(105.51±20.63)g/L,and(248.55±28.15)mg/L,respectively,which were higher than those in the control group(35.86±3.78)g/L,(95.65±21.06)g/L,(235.66±26.75)mg/L,the difference was statistically significant(t=3.007,2.219,2.202,P=0.003,0.029,0.030);the compliance rate of the study group(88.64%)was higher than the control group(68.18%),the difference was statistically significant(χ^(2)=5.437,P=0.020);after the intervention,the CSS score of the study group was(8.03±2.26)points,which was lower than the control group(9.36±3.15)points,the difference was statistically significant(t=2.276,P=0.025),after the intervention,the FIM score of the study group was(96.12±10.65)points,which was higher than the control group(89.96±11.06)points,the difference was statistically significant(t=2.661,P=0.009).Conclusion Early enteral nutrition and nursing intervention can improve the nutritional status,compliance,and rehabilitation of patients with acute cerebral hemorrhage and craniotomy.

关 键 词：急性脑出血 颅骨钻孔术 早期肠内营养 护理干预 康复效果 

分 类 号：R473.74[医药卫生—护理学]