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目的观察探讨期护理康复干预对急性脑梗塞患者的临床疗效。方法选取我院2013年10月到2015年12月收纳的98例急性脑梗塞患者,随机分为观察组和对照组,各49例。对照组仅采取常规护理方法,观察组在对照组基础治疗上,采取早期护理康复干预治疗连续进行一年。观察两组患者治疗前后美国国立卫生院神经功能缺损(NHISS)评分变化情况来评估患者神经康复情况,在干预前,干预后14天及30天评估患者血清超敏C反应蛋白(hs-CRP)值。且比较护理结束后两组患者的护理满意程度。结果两组患者在干预前及干预后14天NHISS评分,组间差异不具有统计学意义(P>0.05)。干预一个月后,观察组评分显著低于对照组,差异具有统计学意义(P<0.05).两组患者在干预前及干预后14天血清hs-CRP值,组间差异不具有统计学意义(P>0.05)。在干预后一个月,观察组血清hs-CRP低于对照组,差异具有统计学意义(P<0.05)。护理干预后观察组的护理满意度(95.9%)明显高于对照组(83.7%),差异有统计学意义(P<0.05)。结论早期护理康复干预对急性脑梗塞患者疗效显著,可更好地修复患者神经系统缺损,降低患者神经系统炎症反应,且患者对护理满意程度较高,值得临床上进一步推广应用。
Objective To observe the clinical effect of nursing intervention on acute cerebral infarction patients. Methods A total of 98 acute cerebral infarction patients admitted from October 2013 to December 2015 in our hospital were randomly divided into observation group and control group, with 49 cases in each group. The control group only take the routine nursing method, the observation group in the control group on the basis of treatment, take early nursing rehabilitation intervention for one year continuous. The neurological deficits (NHISS) scores of the two groups were observed before and after treatment to assess the neurological rehabilitation. Serum hs-CRP levels were assessed before intervention and at 14 and 30 days after intervention. value. The nursing satisfaction of two groups was compared after nursing care was finished. Results The NHISS scores of both groups before intervention and 14 days after intervention did not reach statistical significance (P> 0.05). One month after intervention, the observation group score was significantly lower than the control group, the difference was statistically significant (P <0.05) .In two groups of patients before and after intervention 14 h serum hs-CRP value, the difference between groups was not statistically significant (P> 0.05). One month after the intervention, hs-CRP in the observation group was lower than that in the control group, with statistical significance (P <0.05). After nursing intervention, the nursing satisfaction of the observation group (95.9%) was significantly higher than that of the control group (83.7%), the difference was statistically significant (P <0.05). Conclusion Early nursing rehabilitation intervention has significant curative effect on patients with acute cerebral infarction, which can better repair the patients with neurological deficit, reduce the nervous system inflammatory response, and patients with high satisfaction with the nursing, it is worth further clinical application.