摘要
目的:分析阶段式康复训练对颅脑外伤患者术后肢体运动和神经功能的影响以及临床应用价值。方法:选取2019年2月-2020年4月牡丹江医学院附属红旗医院神经外科病区收治的68例颅脑外伤患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各34例。对照组进行常规康复干预,即健康教育、床边认知功能训练、团体康复训练、家庭康复指导等定期的康复训练干预。观察组在实施常规康复干预的基础上进行阶段式康复训练。比较两组患者干预前后Fugl-Meyer运动功能评定量表(Fugl-Meyer Motor Function Assessment Scale,FMA)评分、美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、生活质量评分及并发症发生情况。结果:未实施阶段式康复干预前,两组上肢FMA、下肢FMA、NIHSS评分差异无统计学意义(P>0.05)。实施阶段式康复干预后,差异有统计学意义(P<0.05)。观察组生活质量评分为(87.37±12.69)分,高于对照组的(76.02±16.25)分,差异有统计学意义(P<0.05)。观察组并发症发生率为8.82%(3/34)。对照组并发症发生率为29.41%(10/34)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:阶段式康复干预遵循颅脑外伤患者术后恢复的特点,与实施阶段式康复干预前相比能有效改善颅脑损伤患者术后运动功能和神经功能,有利于改善预后,提高患者术后生活质量。
Objective:To analyze the effect of staged rehabilitation training on limb movement and nerve function of patients with craniocerebral injury after operation and its clinical application value.Methods:From February 2019 to April 2020,68 patients with craniocerebral injury admitted to the Neurosurgery Ward of Hongqi Hospital Affiliated to Mudanjiang Medical College were selected as the study subjects.According to the method of random numbers,they were randomly divided into the control group and the observation group,with 34 patients in each group.The control group received routine rehabilitation intervention,including health education,bedside cognitive function training,group rehabilitation training,family rehabilitation guidance and other regular rehabilitation training intervention.The observation group received staged rehabilitation training on the basis of routine rehabilitation intervention.The Fugl-Meyer Motor Function Assessment Scale(FMA)score,National Institutes of Health Stroke Scale(NIHSS)score,quality of life score and complications were compared between the two groups before and after intervention.Results:There was no significant difference between the two groups in upper limb FMA,lower limb FMA and NIHSS scores before staged rehabilitation intervention(P>0.05).After the implementation of staged rehabilitation intervention,the difference was statistically significant(P<0.05).The score of quality of life in the observation group was(87.37±12.69),which was higher than(76.02±16.25)in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 8.82%(3/34).The incidence of complications in the control group was 29.41%(10/34).The 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:Staged rehabilitation intervention conforms with the characteristics of postoperative recovery of patients with craniocerebral injury,and it can ef
作者
于雪婷
朱正日
郭栋
刘婉露
陈鹏
YU Xueting;ZHU Zhengri;GUO Dong;LIU Wanlu;CHEN Peng
出处
《中医临床研究》
2023年第15期75-78,共4页
Clinical Journal Of Chinese Medicine
关键词
阶段式康复训练
颅脑外伤
肢体运动功能
神经功能
应用价值
Staged rehabilitation training
Craniocerebral trauma
Limb motor function
Neural function
Application value
