超早期护理干预对脑功能区胶质瘤病人术后运动性失语的有效性分析

目的 探讨超早期(术后72 h内)护理干预对脑功能区胶质瘤病人术后失语的有效性,进一步明确脑功能区胶质瘤术后失语病人的更优护理干预时间点.方法 选择38例脑功能区胶质瘤术后失语病人,随机字母法分组为超早期护理干预组和常规护理对照组各19例并进行相应干预,使用波士顿诊断性失语检查法(BDAE)进行语言分级,分别比较两组失语病人干预后1周、干预后1个月语言康复效果.结果 所有病人均未出现护理干预相关严重不良事件.超早期干预护理组干预后1周语言康复临床有效率为84.2%,显著高于对照组的52.6%(P<0.05).超早期干预护理组干预后1个月临床有效率为94.7%,显著高于对照组的语言康复临床有效率68.4%(P<0.05).结论 超早期护理干预可提高脑功能区胶质瘤术后失语病人的语言康复效果,是脑功能区胶质瘤术后失语病人更佳的护理干预时间点,应提倡临床推广.

Validity of ultra-early nursing intervention on functional area glioma patients with postoperative aphasia

Objective To investigate the validity of ultra-early (within 72 h after surgery) nursing intervention on functional area glioma patients with postoperative aphasia,to further clarify a better nursing intervention time point.Methods Thirty-eight functional area glioma patients with aphasia after operation from Beijing Tiantan Hospital,Capital Medical University,were selected.Patients were randomly assigned into ultra-early intervention group and control group,19 patients in each group,and received different nursing interventions.Language classification was carried out by using Diagnostic Aphasia Examination in Boston (BDAE).Comparison was made between the two groups of language rehabilitation one week and one month after the intervention.Results No serious adverse events related to nursing intervention occurred among the patients.The clinical effective rate 1 week after the intervention in the ultra-early intervention nursing group (84.2%)was significantly higher than the control group (52.6%)(P<0.05).The clinical effective rate 1 month after the intervention in the ultra-early intervention nursing group (94.7%) was significantly higher than the control group (68.4%)(P<0.05).Conclusions Ultra-early nursing intervention can improve the validity of language rehabilitation for patients with aphasia after cerebral functional area operation.It is a better nursing intervention time point and is worthy of clinical promotion.