早期综合康复治疗对颅脑损伤患者的临床治疗价值分析  

Clinical Value of Early Comprehensive Rehabilitation Therapy in Patients With Craniocerebral Injury

作　　者：陈杨葭 陈建敏[1] CHEN Yangjia;CHEN Jianmin(Department of Rehabilitation,The First Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350000,China)

机构地区：[1]福建医科大学附属第一医院康复科,福建福州350000

出　　处：《中国卫生标准管理》2021年第22期81-84,共4页China Health Standard Management

基　　金：福建省卫生健康青年科研课题资助计划(2020QNA044)。

摘　　要：目的探究与分析早期综合康复治疗对颅脑损伤患者的临床治疗效果。方法选取本院2018年4月—2020年4月收治的颅脑损伤患者120例,采取随机数字表法分为对照组与观察组,每组60例。对照组实施常规康复治疗,观察组在对照组基础上实施早期综合康复治疗,对比两组患者的神经功能缺损评分(National Institutes of health stroke scale,NIHSS)、洼田饮水试验评级、电视X线透视吞咽功能检查(video fluoroscopy swallowing study,VFSS)结果评分。结果两组治疗后NIHSS评分与治疗前相比较低,观察组治疗后NIHSS评分与对照组相比较低,差异均有统计学意义(P<0.05)。两组治疗后洼田饮水试验评级与治疗前相比降低,观察组治疗后洼田饮水试验评级与对照组治疗后相比更低,差异均有统计学意义(P<0.05)。两组治疗后口腔期通过时间、咽期延迟时间及咽期通过时间与治疗前相比均缩短,观察组短于对照组,差异均有统计学意义(P<0.05)。结论早期综合康复应用于颅脑损伤患者中可改善神经功能缺损的情况,有效促进吞咽功能的恢复。Objective To explore and analyze the clinical effect of early comprehensive rehabilitation treatment in patients with craniocerebral injury.Methods A total of 120 patients with craniocerebral injury admitted to our hospital from April 2018 to April 2020 were selected and divided into the control group and the observation group by the random number table,with 60 cases in each group.The control group received conventional rehabilitation treatment.The observation group was given early comprehensive rehabilitation on the basis of the control group,and the National Institutes of health stroke scale,(NIHSS),the rating of the water swallow test,and the result score of the TV X-ray video fluoroscopy swallowing study(VFSS)were compared between the two groups of patients.Results The NIHSS scores of the two groups after treatment were lower than that before treatment,and the NIHSS score of the observation group was lower than that of the control group after treatment,and the differences were statistically significant(P<0.05).After treatment,the ratings of the water swallow test degrees decreased in the two groups compared with those before the treatment;he observation group had a lower degree in the compared with the control group after treatment,and the differences were statistically significant(P<0.05).After treatment,the oral phase time,pharyngeal delay time,and pharyngeal passage time of the two groups were shortened compared with before treatment;after treatment,the above-mentioned time were shorter in the observation group compared with the control group,and the differences were statistically significant(P<0.05).Conclusion Early comprehensive rehabilitation can improve the neurological deficit and effectively promote the recovery of swallowing function in patients with craniocerebral injury.

关 键 词：早期综合康复 颅脑损伤 神经功能缺损 吞咽障碍 常规干预 饮水试验 

分 类 号：R454[医药卫生—治疗学]