摘要
目的探讨鼻空肠管营养支持联合早期康复干预对颅脑损伤患者营养状况、免疫功能及肢体运动功能的影响。方法选取2021年1月至2022年1月南阳市第一人民医院收治的126例颅脑损伤患者作为研究对象,采用随机数字表法将其分为对照组(n=63)与干预组(n=63)。对照组给予常规干预,干预组给予鼻空肠管营养支持联合早期康复干预。比较两组的干预效果。结果干预后,两组的总蛋白(TP)、血红蛋白(Hb)、前白蛋白(PA)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)水平均升高,且干预组高于对照组(P<0.05)。干预后,两组的Fugl-Meyer运动功能评定(FMA)评分均升高,美国国立卫生院卒中量表(NIHSS)、焦虑自评量表(SAS)评分均降低,且干预组优于对照组(P<0.05)。结论鼻空肠管营养支持联合早期康复干预能够改善机体营养状况,增强患者免疫功能,促进肢体运动功能及神经功能恢复,改善心理状况。
Objective To investigate the effects of nasal jejunal nutrition support combined with early rehabilitation intervention on nutritional status,immune function and limb motor function in patients with craniocerebral injury.Methods A total of 126 patients with craniocerebral injury admitted in Nanyang First People's Hospital from January 2021 to January 2022 were selected as the research objects,and the patients were divided into control group(n=63)and intervention group(n=63)by random number table method.The control group was given routine intervention,and the intervention group was given nasal jejunal nutrition support combined with early rehabilitation intervention.The intervention effects of the two groups were compared.Results After intervention,the levels of total protein(TP),hemoglobin(Hb),prealbumin(PA)immunoglobulin A(IgA),immunoglobulin G(IgG)and immunoglobulin M(IgM)in the two groups increased,and those in the intervention group were higher than the control group(P<0.05).After intervention,the Fugl-Meyer Assessment(FMA)scores of the two groups increased,the National Institutes of Health Stroke Scale(NIHSS)and Self-Rating Anxiety Scale(SAS)scores decreased,and those in the intervention group were better than the control group(P<0.05).Conclusion Nasal jejunal nutrition support combined with early rehabilitation intervention can improve the nutritional status of the body,enhance the immune function of patients,promote the recovery of limb motor function and neurological function,and improve the psychological status.
作者
李伟
王文霞
LI Wei;WANG Wenxia(Nanyang First People's Hospital,Nanyang 473000;Traditional Chinese Medicine Hospital of Qian County,Xianyang 713300,China)
出处
《临床医学研究与实践》
2023年第34期169-172,共4页
Clinical Research and Practice
关键词
颅脑损伤
鼻空肠管营养支持
早期康复干预
营养状况
免疫功能
肢体运动功能
craniocerebral injury
nasal jejunal nutrition support
early rehabilitation intervention
nutritional status
immune function
limb motor function
