早期综合康复措施对创伤性颅脑损伤患者神经、活动功能及下肢深静脉血栓形成的影响  

Effect of early comprehensive rehabilitation measures on nerve,mobility function and lower extremity deep venous thrombosis in patients with traumatic brain injury

作　　者：王曦竹 梁陶媛[2] 李金勇 李凌[1] 张雪[1] 尹月嫡 田轩[2] Wang Xizhu;Liang Taoyuan;Li Jinyong;Li Ling;Zhang Xue;Yin Yuedi;Tian Xuan(Department of Neurosurgery,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Vascular Surgery,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院神经外科,北京100035 [2]北京积水潭医院血管外科,北京100035

出　　处：《血管与腔内血管外科杂志》2022年第9期1034-1037,共4页Journal of Vascular and Endovascular Surgery

基　　金：北京市属医院科研培育计划项目(PX2022015)。

摘　　要：目的探讨早期综合康复措施对创伤性颅脑损伤(TBI)患者神经、活动功能及下肢深静脉血栓形成(DVT)的影响。方法收集2019年1月至2022年1月于北京积水潭医院接受治疗的96例TBI患者的临床资料,依据干预方案的不同将患者分为观察组(n=48,采取早期综合康复措施)与对照组(n=48,采取常规干预措施)。比较两组患者干预前后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、生活自理能力(Barthel指数评分)、肢体运动功能[Fugl-Meyer运动功能评定量表(FMA)评分]及干预期间的并发症发生率。结果干预后,观察组患者的NIHSS评分低于对照组患者,Barthel指数评分高于对照组患者,差异均有统计学意义(P<0.05)。干预后,观察组患者的上肢、下肢运动功能评分均高于对照组患者,差异均有统计学意义(P<0.05)。观察组患者的并发症总发生率低于对照组患者,差异有统计学意义(P<0.05)。结论早期综合康复措施有助于TBI患者神经及活动功能的改善,能够降低干预期间并发症的发生率,提高患者的生活质量。Objective To investigate the effect of early comprehensive rehabilitation measures on nerve and mobility function and lower extremity deep venous thrombosis(DVT)in patients with traumatic brain injury(TBI).Method The clinical data of 96 patients with TBI who were treated in Beijing Jishuitan Hospital from January 2019 to January 2022were collected,and the patients were divided into observation group(n=48,taking early comprehensive rehabilitation measures)and control group(n=48,taking routine intervention measures)according to the different intervention regimens.The nerve function[National Institutes of Health stroke scale(NIHSS)score],self-care ability(Barthel index score),and extremity mobility function[Fugl-Meyer assessment scale(FMA)score]before and after the intervention,and complication rates during the intervention period were compared between the two groups.Result After the intervention,the NIHSS score of the observation group was lower than that of the control group,the Barthel index score was higher than that of the control group,and the differences were statistically significant(P<0.05).After the intervention,the mobility function scores of the upper and lower extremities of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Early comprehensive rehabilitation interventions could help improve the nerve and mobility function of TBI patients,reduce the incidence of complications during the intervention period,and improve patients’quality of life.

关 键 词：早期综合康复 创伤性颅脑损伤 神经功能 活动功能 下肢 深静脉血栓形成 

分 类 号：R543[医药卫生—心血管疾病]