早期康复护理对颅脑外伤术后运动障碍患者功能恢复的影响(1)
[摘要] 目的 探讨颅脑外伤术后运动障碍患者接受早期康复护理对肢体功能恢复的影响。方法 随机选取该院2018年1—12月收治的70例颅脑外伤手术患者，随机均分两组各35例。实验组接受术后早期康复护理，予以特色健康八步操，对照组接受常规护理，比较两组干预前后肢体运动功能情况。结果 实验组干预1个月后FMA(50.6±13.8)分，随访3个月时FMA(67.4±15.3)分，末次随访时FMA(79.1±12.7)分，肢体功能恢复优6例、良20例，优良率74.29%，均优于对照组，差异有统计学意义(t=3.740，t=3.692，t=7.083，χ2=6.932;P<0.05)。结论 颅脑外伤术后运动障碍患者应用早期康复护理，予以该院特色健康八步操，可加速康复，有效改善患者肢体功能，提高康复效果，值得推广。
[关键词] 颅脑外伤;运动障碍;早期康复护理;特色健康八步操;肢体功能
[中图分类号] R574 [文献标识码] A [文章編号] 1674-0742(2019)12(a)-0146-03
[Abstract]Objective To explore the effect of early rehabi litation nursing on limb function recovery in patients with motor disorder after craniocerebral trauma surgery. Methods Convenient election from January to December 2018， 70 patients with craniocerebral trauma were divided into two groups， 35 patients in each group. Early rehabilitation nursing after operation in experimental group and routine nursing in control group were compared before and after intervention. Results FMA (50.6±13.8) points were scored after 1 month of intervention in the experimental group. FMA (67.4±15.3) points were followed up for 3 months. FMA(79.1±12.7)points were obtained at the last follow-up， and 6 cases were excellent in limb function recovery and 20 cases were good. The excellent and good rate was 74.29%， which was better than the control group. The difference was statistically significant (t=3.740， 3.692， 7.083， χ2=6.932; P<0.05). Conclusion Early postoperative rehabilitation care for patients with dyskinesia after craniocerebral trauma， and the eight-step exercise with special characteristics in our hospital can accelerate rehabilitation， effectively improve the limb function of patients and improve the rehabilitation effect， which is worthy of clinical promotion.
[Key words] Craniocerebral trauma; Dyskinesia; Early rehabilitation nursing; Characteristic healthy eight-step exercise; Limb function
颅脑外伤是脑外科常见急症，由外界暴力直接或间接所用于头部所引起，可导致脑组织局灶性或广泛性损害，以及继发出血、颅内水肿、脑疝等症，病情复杂且进展快，致残致死率高[1]。手术可有效解除颅脑外伤颅内高压，对降低死亡率、改善患者预后具有重要意义，但多数患者术后仍可见不同程度功能障碍，影响生活质量。因此，对于手术救治成功的颅脑外伤患者而言，有效改善功能障碍、降低致残程度，促进早期回归社会生活成为治疗的关键[2]。早期康复运动可以有效促进肢体功能恢复，在改善患者预后方面的效果得到临床普遍认可[3]。该院近年基于该院特色健康八步操予以颅脑外伤术后运动障碍患者早期康复护理，收效理想，文章现以2018年1—12月该院收治70例患者为研究对象进行报道，报道如下。
1 资料与方法
1.1 一般资料
从该院收治颅脑外伤患者中随机择取70例为研究对象，随机均分两组各35例。纳入标准：颅脑外伤，入院格拉斯哥昏迷评分>3分;外科手术指征，术后神志好转，功能锻炼耐受;临床资料齐全。排除标准：植物生存及死亡;年龄≥70岁老人;合并严重内科疾病、精神障碍;既往肢体功能障碍病史，影响疗效评估。实验组：男25例，女10例;年龄40～68岁，平均(53.1±9.5)岁;入院GCS 5～10分，平均(7.7±2.5)分;单侧肢体运动障碍53例，双侧肢体运动障碍17例。对照组：男24例，女11例;年龄41～70岁，平均(52.7±9.8)岁;入院GCS 4～10分，平均(7.8±2.8)分;单侧肢体运动障碍55例，双侧肢体运动障碍15例。该研究获伦理委员会批准，患者知情同意，两组基线资料相当，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(姜艳)
[关键词] 颅脑外伤;运动障碍;早期康复护理;特色健康八步操;肢体功能
[中图分类号] R574 [文献标识码] A [文章編号] 1674-0742(2019)12(a)-0146-03
[Abstract]Objective To explore the effect of early rehabi litation nursing on limb function recovery in patients with motor disorder after craniocerebral trauma surgery. Methods Convenient election from January to December 2018， 70 patients with craniocerebral trauma were divided into two groups， 35 patients in each group. Early rehabilitation nursing after operation in experimental group and routine nursing in control group were compared before and after intervention. Results FMA (50.6±13.8) points were scored after 1 month of intervention in the experimental group. FMA (67.4±15.3) points were followed up for 3 months. FMA(79.1±12.7)points were obtained at the last follow-up， and 6 cases were excellent in limb function recovery and 20 cases were good. The excellent and good rate was 74.29%， which was better than the control group. The difference was statistically significant (t=3.740， 3.692， 7.083， χ2=6.932; P<0.05). Conclusion Early postoperative rehabilitation care for patients with dyskinesia after craniocerebral trauma， and the eight-step exercise with special characteristics in our hospital can accelerate rehabilitation， effectively improve the limb function of patients and improve the rehabilitation effect， which is worthy of clinical promotion.
[Key words] Craniocerebral trauma; Dyskinesia; Early rehabilitation nursing; Characteristic healthy eight-step exercise; Limb function
颅脑外伤是脑外科常见急症，由外界暴力直接或间接所用于头部所引起，可导致脑组织局灶性或广泛性损害，以及继发出血、颅内水肿、脑疝等症，病情复杂且进展快，致残致死率高[1]。手术可有效解除颅脑外伤颅内高压，对降低死亡率、改善患者预后具有重要意义，但多数患者术后仍可见不同程度功能障碍，影响生活质量。因此，对于手术救治成功的颅脑外伤患者而言，有效改善功能障碍、降低致残程度，促进早期回归社会生活成为治疗的关键[2]。早期康复运动可以有效促进肢体功能恢复，在改善患者预后方面的效果得到临床普遍认可[3]。该院近年基于该院特色健康八步操予以颅脑外伤术后运动障碍患者早期康复护理，收效理想，文章现以2018年1—12月该院收治70例患者为研究对象进行报道，报道如下。
1 资料与方法
1.1 一般资料
从该院收治颅脑外伤患者中随机择取70例为研究对象，随机均分两组各35例。纳入标准：颅脑外伤，入院格拉斯哥昏迷评分>3分;外科手术指征，术后神志好转，功能锻炼耐受;临床资料齐全。排除标准：植物生存及死亡;年龄≥70岁老人;合并严重内科疾病、精神障碍;既往肢体功能障碍病史，影响疗效评估。实验组：男25例，女10例;年龄40～68岁，平均(53.1±9.5)岁;入院GCS 5～10分，平均(7.7±2.5)分;单侧肢体运动障碍53例，双侧肢体运动障碍17例。对照组：男24例，女11例;年龄41～70岁，平均(52.7±9.8)岁;入院GCS 4～10分，平均(7.8±2.8)分;单侧肢体运动障碍55例，双侧肢体运动障碍15例。该研究获伦理委员会批准，患者知情同意，两组基线资料相当，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(姜艳)