早期评估与分级管理康复模式对重型颅脑损伤患者的干预效果研究(1)
[摘要] 目的 探讨早期评估与分级管理康复模式对重型颅脑损伤患者的干预效果。 方法 回顾性分析我院在2016年8月～2018年4月期间收治的128例重型颅脑损伤患者，随机分为两组，给予对照组患者常规干预，给予研究组患者早期评估与分级管理康复模式干预。观察比较两组患者的生活质量水平及康复干预期间的生活自理能力和综合功能的康复水平。 结果 研究组患者的生活质量水平明显优于对照组，差异有统计学意义(P<0.05);研究组患者的生活自理能力以及综合功能的康复水平明显优于对照组，差异有统计学意义(P<0.05)。 结论 重型颅脑损伤患者应用早期评估与分级管理康复模式进行干预具有良好的干预效果，不仅可以改善患者的生活自理能力，還可以提高患者的综合功能康复水平，值得在临床上进一步推广和应用。
[关键词] 早期评估;分级管理;康复模式;重型颅脑损伤;干预效果
[中图分类号] R651.15 [文献标识码] B [文章编号] 1673-9701(2019)18-0128-04
[Abstract] Objective To explore the effect of early assessment and graded management rehabilitation model on patients with severe craniocerebral injury. Methods A retrospective analysis was performed on 128 patients with severe head injury who were admitted to our hospital between August 2016 and April 2018. These patients were randomized into two groups. Patients in the control group were given routine intervention， and patients in the study group were intervened according to the early assessment and graded management rehabilitation model. The quality of life， self-care ability and comprehensive function rehabilitation level of the two groups of patients were observed and compared. Results The quality of life of the study group was significantly better than that of the control group(P<0.05). The self-care ability and comprehensive function of the study group were significantly better than those of the control group(P<0.05). Conclusion For patients with severe craniocerebral injury， the early assessment and graded management rehabilitation mode has a good intervention effect， which not only can improve the patients’ self-care ability， but also improve the rehabilitation level of the patients’ comprehensive function， which is worthy of further promotion and application in the clinic.
[Key words] Early assessment; Graded management; Rehabilitation mode; Severe craniocerebral injury; Intervention effect
重型颅脑损伤是神经科疾病常见的一种类型，具有较高的致残率和致死率，且临床上预后性较差，并发症率较高[1]。颅脑损伤根据患者的昏迷时间、阳性体征和生命体征可分为轻、中、重型，重型则是最严重的一种颅脑损伤[2]。大多数重型颅脑损伤患者均会存在不同程度的肢体运动障碍，会对生活的自理能力造成严重的影响，通过早期的护理干预，可有效降低致残率，提高生活质量水平。临床上对于重型颅脑损伤患者的康复干预常采用常规护理干预模式，但是其干预效果并不显著[3]，本文旨在探讨早期评估与分级管理康复模式对重型颅脑损伤患者的干预效果的影响，现报道如下。
1 资料与方法
1.1一般资料
回顾性分析我院在2016年8月～2018年4月期间收治的128例重型颅脑损伤患者，采用随机数字表法将其分为两组，每组各64例。对照组男39例，女25例，年龄19～65岁，平均(38.5±2.3)岁;研究组男38例，女26例，年龄18～65岁，平均(38.8±2.5)岁。纳入标准：(1)通过CT或者磁共振确诊为颅内损伤;(2)根据患者的临床症状判断为重型颅脑损伤;(3)意识清醒且病情稳定;(4)精神正常且可以配合治疗;(5)自愿参与本次研究[4]。排除标准：(1)具有严重的认知功能障碍者;(2)肝肾功能等脏器器官存在异常者;(3)不愿意参与本次研究者;(4)具有严重的心肺功能不全[5]者。两组患者的一般资料比较差异无统计学意义(P>0.05)，具有可比性，并经过医院伦理委员会批准。, 百拇医药(占小燕 余国峰)
[关键词] 早期评估;分级管理;康复模式;重型颅脑损伤;干预效果
[中图分类号] R651.15 [文献标识码] B [文章编号] 1673-9701(2019)18-0128-04
[Abstract] Objective To explore the effect of early assessment and graded management rehabilitation model on patients with severe craniocerebral injury. Methods A retrospective analysis was performed on 128 patients with severe head injury who were admitted to our hospital between August 2016 and April 2018. These patients were randomized into two groups. Patients in the control group were given routine intervention， and patients in the study group were intervened according to the early assessment and graded management rehabilitation model. The quality of life， self-care ability and comprehensive function rehabilitation level of the two groups of patients were observed and compared. Results The quality of life of the study group was significantly better than that of the control group(P<0.05). The self-care ability and comprehensive function of the study group were significantly better than those of the control group(P<0.05). Conclusion For patients with severe craniocerebral injury， the early assessment and graded management rehabilitation mode has a good intervention effect， which not only can improve the patients’ self-care ability， but also improve the rehabilitation level of the patients’ comprehensive function， which is worthy of further promotion and application in the clinic.
[Key words] Early assessment; Graded management; Rehabilitation mode; Severe craniocerebral injury; Intervention effect
重型颅脑损伤是神经科疾病常见的一种类型，具有较高的致残率和致死率，且临床上预后性较差，并发症率较高[1]。颅脑损伤根据患者的昏迷时间、阳性体征和生命体征可分为轻、中、重型，重型则是最严重的一种颅脑损伤[2]。大多数重型颅脑损伤患者均会存在不同程度的肢体运动障碍，会对生活的自理能力造成严重的影响，通过早期的护理干预，可有效降低致残率，提高生活质量水平。临床上对于重型颅脑损伤患者的康复干预常采用常规护理干预模式，但是其干预效果并不显著[3]，本文旨在探讨早期评估与分级管理康复模式对重型颅脑损伤患者的干预效果的影响，现报道如下。
1 资料与方法
1.1一般资料
回顾性分析我院在2016年8月～2018年4月期间收治的128例重型颅脑损伤患者，采用随机数字表法将其分为两组，每组各64例。对照组男39例，女25例，年龄19～65岁，平均(38.5±2.3)岁;研究组男38例，女26例，年龄18～65岁，平均(38.8±2.5)岁。纳入标准：(1)通过CT或者磁共振确诊为颅内损伤;(2)根据患者的临床症状判断为重型颅脑损伤;(3)意识清醒且病情稳定;(4)精神正常且可以配合治疗;(5)自愿参与本次研究[4]。排除标准：(1)具有严重的认知功能障碍者;(2)肝肾功能等脏器器官存在异常者;(3)不愿意参与本次研究者;(4)具有严重的心肺功能不全[5]者。两组患者的一般资料比较差异无统计学意义(P>0.05)，具有可比性，并经过医院伦理委员会批准。, 百拇医药(占小燕 余国峰)