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目的探讨早期康复护理在急性脑血栓患者中的应用价值。方法选取2012年6月至2015年6月河南省长葛市人民医院急诊科诊治的120例急性脑血栓患者作为研究对象,按照护理方式不同将其分为对照组(54例)与观察组(66例)。对照组患者给予常规护理,观察组患者在对照组基础上实施早期康复护理,比较两组患者护理前后运动及神经功能改善情况、生命质量、抑郁情况及并发症发生情况。结果护理后,观察组患者的Fugl-Meyer评分及美国国立卫生院神经功能缺损评分(NIHSS)均明显高于对照组,差异均有统计学意义(均P<0.05);护理后,观察组患者的Barthel指数评定量表(BI)评分明显高于对照组,汉密尔顿抑郁量表(HAMD)评分明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论早期康复护理应用于急性脑血栓患者中效果确切,不仅能够有效改善患者运动、神经功能,而且可以提高其生命质量,缓解不良情绪,降低并发症发生率。
Objective To explore the value of early rehabilitation nursing in patients with acute cerebral thrombosis. Methods A total of 120 acute cerebral thrombosis patients treated in the emergency department of Changge People’s Hospital of Henan Province from June 2012 to June 2015 were selected as study subjects and divided into control group (n = 54) and observation group (n = 66 cases). The patients in the control group were given routine care. The patients in the observation group were given early rehabilitation care on the basis of the control group. The improvement of motor and neurological function, quality of life, depression and complications before and after the operation were compared between the two groups. Results After nursing, the Fugl-Meyer score and NIHSS in the observation group were significantly higher than those in the control group (all P <0.05). After nursing, the patients in the observation group The Barthel Index Rating Scale (BI) score was significantly higher than the control group, the Hamilton Depression Rating Scale (HAMD) score was significantly lower than the control group, the differences were statistically significant (all P <0.05); the incidence of complications in the observation group Significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Early rehabilitation nursing is effective in patients with acute cerebral thrombosis, which can not only effectively improve patients’ motor and nerve function, but also improve their quality of life, relieve negative emotions and reduce the incidence of complications.