摘要
目的:探讨预见性护理在预防重症颅脑损伤患者继发下肢深静脉血栓形成中的应用及对NIHSS评分的影响。方法:选择2017年7月-2019年5月重症颅脑损伤患者68例,按随机数字表法分为对照组和观察组,每组34例。对照组进行常规护理,观察组在对照组基础上进行预见性护理干预措施。护理1个月后,对比两组美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer评定量表(FMA)评分、下肢周径和静脉血流速度、血液流变学指标。结果:观察组护理1个月后NIHSS评分低于对照组,FMA评分高于对照组,且两组护理后NIHSS、FMA评分均优于护理前,差异均有统计学意义(P<0.05);两组护理前下肢周径与静脉血流速度比较,差异均无统计学意义(P>0.05);观察组护理1个月后下肢周径小于对照组,下肢静脉血流速度高于对照组,差异均有统计学意义(P<0.05);观察组护理1个月后全血黏度、血浆黏度均低于对照组,差异均有统计学意义(P<0.05)。结论:在重症颅脑损伤患者预防继发下肢深静脉血栓形成中应用预见性护理,能够降低神经功能损伤程度,提高运动功能,加快血流速度,降低血浆及全血黏度,有效预防下肢深静脉血栓形成,值得临床推广应用。
Objective:To investigate the application of predictive nursing in prevention of deep venous thrombosis of lower extremities in patients with severe craniocerebral injury and its effect on NIHSS score.Method:A total of 68 patients with severe craniocerebral injury from July 2017 to May 2019 were divided into the control group and the observation group according to the random number table method,34 cases in each group.The control group received routine nursing.The observation group received predictive nursing intervention on the basis of the control group.After nursing for 1 month,National Institute of Health stroke scale(NIHSS)scores,Fugl-Meyer assessment(FMA)scores,the circumference of lower extremities,venous flow velocity and hemorheology indicators were compared between the two groups.Result:After nursing for 1 month,the NIHSS score of the observation group was lower than that of the control group,and the FMA score was higher than that of the control group,and the NIHSS and FMA scores in both groups after nursing were better than those before nursing,and the differences were statistically significant(P<0.05).Before nursing,the circumference of lower extremities and venous flow velocity were compared between the two groups,and the differences were not statistically significant(P>0.05).After nursing for 1 month,the circumference of lower extremities in the observation group was smaller than that of the control group,and the venous flow velocity of lower extremities was higher than that of the control group,and the differences were statistically significant(P<0.05).After nursing for 1 month,the whole blood viscosity and plasma viscosity of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Predictive nursing for the prevention of secondary deep venous thrombosis of lower extremities in patients with severe craniocerebral injury can reduce the degree of neurological injury,improve the motor function,accelerate blood flow velocity,reduce plasma and whole blood viscosity,and effectively prevent deep venous thrombosis of lower extremities,which is worthy of clinical promotion and application.
作者
皮振艳
PI Zhenyan(The First People’s Hospital of Yidu,Yidu 443300,China)
出处
《中外医学研究》
2019年第36期117-119,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
预见性护理
重症颅脑损伤
预防下肢深静脉血栓形成
NIHSS
评分
血液流变学指标
Predictive nursing
Severe craniocerebral injury
Prevention of deep venous thrombosis of lower extremities
NIHSS score
Hemorheology indicators
