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目的探究对重型颅脑损伤术后偏瘫肢体进行早期康复护理干预的效果。方法选择从2015年1月—2016年1月该院收治的132例重型颅脑损伤伴偏瘫的患者作为研究对象,按随机的方式分为66例对照组和66例观察组。对照组患者进行常规护理,对观察组患者在常规护理基础进行早期康复护理干预。比较两组的生活质量评分和并发症发生率。结果护理后2、4、12周两组的生活质量评分均高于护理前,观察组生活质量评分护理后2周(19.82±2.64)分、护理后4周(34.35±2.59)分、护理后12周(75.51±5.69)分均高于对照组。观察组不良反应活动受限、肌肉萎缩、体位性低血压、肢体肿胀总发生率7.57%,低于对照组总发生率30.30%。差异有统计学意义(P<0.05)。结论对重型颅脑损伤术后偏瘫肢体进行早期康复护理干预效果明显,能够有效地提高患者的生活质量,减少并发症产生。
Objective To explore the effect of early rehabilitation nursing intervention on hemiplegia limbs after severe craniocerebral injury. Methods From January 2015 to January 2016, 132 patients with severe craniocerebral injury accompanied by hemiplegia in our hospital were selected as the research object and randomly divided into 66 patients in the control group and 66 patients in the observation group. Patients in the control group underwent routine nursing care, and intervention patients in the observation group received early rehabilitation nursing care on the basis of routine care. Quality of life scores and complication rates were compared between the two groups. Results The quality of life scores of the two groups after 2, 4, and 12 weeks of nursing were higher than those before nursing. The quality of life scores of the observation group were 19.82 ± 2.64 after 2 weeks of nursing and 34.35 ± 2.59 after 4 weeks of nursing. 12 weeks (75.51 ± 5.69) points were higher than the control group. Adverse reactions in the observation group limited activity, muscle atrophy, orthostatic hypotension, limb swelling of the total incidence of 7.57%, lower than the control group, the total incidence of 30.30%. The difference was statistically significant (P <0.05). Conclusion The effect of early rehabilitation nursing intervention on hemiplegia limbs after severe craniocerebral injury is obvious, which can effectively improve the quality of life of patients and reduce the complications.