摘要
目的探讨基于美国国立卫生研究院卒中量表(NIHSS)评分的干预模式对重型颅脑损伤术后患者的影响。方法选择2017年5月~2019年5月南通大学附属医院(以下简称“我院”)收治的行常规干预的重型颅脑损伤术后患者47例作为对照组,选择2017年11月~2018年11月我院收治的行基于NIHSS评分干预的重型颅脑损伤术后患者47例作为观察组。比较两组干预前后NIHSS评分、巴氏指数(Barthel)评分、生活质量评分、并发症发生率情况。结果两组干预后NIHSS评分均显著低于干预前,Barthel指数评分均显著高于干预前(P<0.05);观察组干预后NIHSS评分低于对照组,Barthel指数评分高于对照组,差异均有统计学意义(均P<0.05)。两组干预后生理功能、生理职能、躯体疼痛、活力、心理、社会功能、情感职能、总体健康评分均高于干预前,差异均有统计学意义(均P<0.05),且观察组干预后各评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于NIHSS评分的干预模式应用于重型颅脑损伤术后患者可减轻神经功能缺损程度,改善日常生活能力和生活质量,降低并发症发生率,值得推广。
Objective To explore the influence of intervention mode based on the national institute health stroke scale(NIHSS)score on patients with severe craniocerebral injury after operation.Methods From October 2016 to October 2017,47 patients with severe craniocerebral injury who underwent routine intervention in Affiliated Hospital of Nantong University(“our hospital”for short)were selected as the control group.Forty-seven patients admitted to our hospital from November 2017 to November 2018 with NIHSS score intervention after severe craniocerebral injury were selected as the observation group.NIHSS score,Barthel index score,quality of life score and complication rate before and after intervention were compared between the two groups.Results After intervention,NIHSS scores of the two groups were significantly lower than those before intervention,and Barthel index scores were significantly higher than those before intervention(P<0.05);after intervention,NIHSS scores of the observation group were lower than that of the control group,and Barthel index scores were higher than that of the control group,the differences were all statistically significant(all P<0.05).The scores of physiological function,physiological function,physical pain,vitality,psychological,social function,emotional function and general health in the two groups were all higher than those before the intervention,and the differences were all statistically significant(all P<0.05).The scores of the observation group were all higher than those of the control group after the intervention,and the differences were all statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the intervention model based on NIHSS score in patients with severe craniocerebral injury after surgery can reduce the degree of neurological impairment,improve the ability of daily living and quality of life,and reduce t
作者
汤锦丽
顾艳
费雅雅
龚佩佩
TANG Jinli;GU Yan;FEI Yaya;GONG Peipei(Department of Neurosurgery,Affiliated Hospital of Nantong University,Jiangsu Province,Nantong 226000,China)
出处
《中国医药导报》
CAS
2020年第14期69-72,77,共5页
China Medical Herald
基金
国家自然科学基金资助项目(81401013)。
