早期康复护理在急性脑血栓患者中的应用效果  

Application Effect of Early Rehabilitation Nursing in Patients with Acute Cerebral Thrombosis

作　　者：高翠翠 GAO Cuicui(Liaoning Shenyang Second Hospital of Traditional Chinese Medicine,Shenyang 110101,China)

机构地区：[1]辽宁省沈阳市第二中医医院,辽宁沈阳110101

出　　处：《中国医药指南》2022年第1期29-32,共4页Guide of China Medicine

摘　　要：目的分析急性脑血栓患者实行早期康复护理的效果。方法选取我院收治的急性脑血栓患者92例为研究对象,时间为2017年8月至2018年8月。根据双盲分组法分为对照组(n=46)和观察组(n=46)。两组患者的治疗措施相同,对照组患者辅助展开常规性护理,观察组则在早期开展康复护理。比较两种护理方式的效果。结果对照组护理满意度为97.83%(45/46),低于观察组的78.26%(36/46)(P<0.05);护理前,两组患者的FMA评分和Barthel指数量表评分并无区别(P>0.05),护理后两组患者的上述指标均改善,观察组患者的改善效果更好(P<0.05);观察组患者护理后HAMD、NIHSS评分均低于对照组(P<0.05);干预组分诊时间、抢救总时间、入院至静脉溶栓时间较对照组明显更短,差异显著(P<0.05);观察组并发症发生率为10.87%(5/46),低于对照组的34.78%(16/46)(P<0.05);观察组的治疗有效率(43例,占93.48%)明显比对照组(33例,占71.74%)高(P<0.05)。结论急性脑血栓患者早期阶段接受康复护理措施,对调节其生活功能,改善运动能力具有显著的效果,并且还可提高临床护理满意度,减少并发症的发生,提升患者的治疗效果。Objective To analyze the effect of early rehabilitation nursing for acute cerebral thrombosis patients.Methods A total of 92 patients with acute cerebral thrombosis received in our hospital from August 2017 to August 2018 were studied.According to the double blind grouping method,According to double-blind group,the patients were divided into control group(n=46)and observation group(n=46).The treatment measures of the two groups were the same.The patients in the control group were assisted with routine nursing,while the patients in the observation group started rehabilitation nursing in the early stage.The effect of two nursing methods was analyzed.Results The nursing satisfaction rate of the control group was 97.83%(45/46),which was lower than 78.26%(36/46)of the observation group(P<0.05).Before nursing,there was no difference between the FMA scores of the two groups of patients and Barthel(P>0.05);the above indicators of the two groups of patients were improved after nursing,and the improvement effect of the observation group was better(P<0.05).The HAMD and NIHSS scores of the observation group were lower than that of the control group(P<0.05).The intervention group's diagnosis time,total rescue time,and time from admission to intravenous thrombolysis were significantly shorter than those of the control group,with significant differences(P<0.05).The complication rate in the observation group was 10.87%(5/46),slightly lower than the control group's 34.78%(16/46)(P<0.05).The effective rate of treatment in the observation group(43 cases,accounting for 93.48%)was significantly higher than that of the control group(33 cases,accounting for 71.74%)(P<0.05).Conclusion Rehabilitation nursing measures for patients with acute cerebral thrombosis in the early stage have a significant effect on regulating their life functions and improving exercise capacity.It can also improve clinical nursing satisfaction,reduce complications,and improve the treatment effect of patients.

关 键 词：急性脑血栓 早期康复 神经功能 满意度 并发症 

分 类 号：R473.74[医药卫生—护理学] R743.33[医药卫生—临床医学]