摘要
目的:观察快速康复外科理念对颅脑外伤患者术后运动、神经功能及生活质量的影响。方法:选择2017年2月-2019年1月本院神经外科收治的64例颅脑外伤患者为研究对象,根据随机数字表法分为对照组和观察组,每组32例。对照组采用常规护理措施进行干预,观察组在对照组基础上予以快速康复外科理念进行干预,两组干预时间均为3个月。比较两组干预前后上肢和下肢运动功能(Fugl-Meyer评分)、日常生活能力(Barthel指数评分)、神经功能(NIHSS评分)及生活质量评分。结果:干预前,两组上下肢Fugl-Meyer评分、Barthel指数、NIHSS评分比较,差异均无统计学意义(P>0.05);干预后,两组上下肢Fugl-Meyer评分、Barthel指数评分均明显高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05);干预后,两组NIHSS评分均明显低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,两组生活质量各项评分比较,差异均无统计学意义(P>0.05);干预后,两组生理功能、躯体疼痛、生理职能、一般健康状况、社会功能、精力、精神健康、情感职能评分均明显高于干预前,且观察组各项评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:快速康复外科理念可明显改善颅脑外伤患者术后运动、神经功能及生活质量,值得临床广泛应用。
Objective:To observe the influence of the concept of rapid rehabilitation surgery on postoperative movement,neurological function and quality of life of patients with craniocerebral trauma.Method:A total of 64 patients with craniocerebral trauma admitted to neurosurgery of our hospital from February 2017 to January 2019 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,32 cases in each group.The control group was intervened with routine nursing measures,and the observation group was intervened with the concept of rapid rehabilitation surgery on the basis of the control group.The intervention time of the two groups were 3 months.The upper and lower extremity motor function(Fugl-Meyer score),daily living ability(Barthel index score),nerve function(NIHSS score)and quality of life score before and after intervention between the two groups were compared.Result:Before intervention,there were no significant differences in Fugl-Meyer scores,Barthel index and NIHSS scores between the two groups(P>0.05).After intervention,the scores of Fugl-Meyer scores of the upper and lower limbs and Barthel index in the two groups were significantly higher than those before intervention,and the scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the NIHSS score of the two groups were significantly lower than those before intervention,and that of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).Before the intervention,there were no significant differences in quality of life scores between the two groups(P>0.05);after intervention,the scores of physiological function,physical pain,physiological function,general health status,social function,energy,mental health and emotional function in the two groups were significantly higher than those before intervention,and the scores in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The concept of rapid rehabilitation surgery can significantly improve the postoperative movement,neurological function and quality of life of patients with craniocerebral trauma,which is worth clinical application.
作者
叶春芬
王坤玉
YE Chunfen;WANG Kunyu(Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430064,China)
出处
《中国医学创新》
CAS
2020年第3期106-110,共5页
Medical Innovation of China
关键词
快速康复外科理念
颅脑外伤
运动功能
神经功能
生活质量
Concept of rapid rehabilitation surgery
Craniocerebral trauma
Motor function
Neurological function
Quality of life
