早期康复护理干预对创伤性颅脑损伤患者肢体运动和认知功能的影 响简

目的 探讨早期康复护理干预对创伤性颅脑损伤患者肢体运动和认知功能的影响.方法 选择2012年6月～2013年6月浙江省温岭市第一人民医院外科住院治疗的急性创伤性颅脑损伤患者72例,随机分为干预组和对照组.两组患者均予以降颅压、营养神经及对症支持治疗.对照组患者予以颅脑损伤常规护理措施,干预组患者予以早期康复护理干预,干预时间为4周.观察并比较两组患者干预前后肢体运动及认知功能的变化.结果 干预4周后,两组患者Fugl-Meyer总积分[（81.17±16.05）、（89.15±17.52）分]均较干预前[（75.56±15.21）、（74.24±14.82）分]明显上升（t=2.16、2.41,P＜0.05）,且干预组上升幅度较对照组更明显（t=2.17,P＜0.05）;同时两组患者MMSE评分和MQ评分[（26.05±4.45）、（31.15±4.53）、（88.05±18.25）、（94.06±20.19）分]较干预前明显上升[（22.42±4.15）、（21.94±4.08）、（84.12±15.27）、（83.93±16.43）分]（P＜ 0.05或P＜ 0.01）,且干预组上升幅度较对照组更明显（P＜0.05）.结论 早期康复护理干预对创伤性颅脑损伤患者肢体运动及认知功能均具有明显的改善作用,促进患者脑功能的早期康复,减少其致残率.

Influence of early recovery nursing intervention on bodily movement and cognitive function of patients with traumatic brain injure

Objective To discuss influence of early recovery nursing intervention on bodily movement and cognitive function of patients with traumatic brain injure （TBI）. Methods 72 cases of patients with TBI in the First Hospital of Wenling from June 2012 to June 2013 were selected and divided into intervention group and control group at random. The patients in two groups were given lowering the intracranial pressure, nerve nutrition and other symptomatic and supportive treatment. The patients in control group were given routine nursing measures on craniocerebral injury, while the patients in intervention group were given early recovery nursing intervention for 4 weeks. The changes of bodily movement and cognitive function of patients in two groups were observed and compared. Results After 4 weeks＇inter- vention, general Fugl-Meyer scores of patients in two group [（81.17±16.05）, （89.15±17.52） score] were obviously rose than before [（75.56±15.21）, （74.24±14.82） score] （t = 2.16, 2.41, P 〈 0.05）, and the rising rate in intervention group was much higher than that in control group （t = 2.17, P 〈 0.05）. Meanwhile, MMSE and MQ scores of patients in two groups [（26.05±.45）, （31.15±0.53）, （88.05±8.25）, （94.06±20.19） score]were obviously rose than before [（22.42±4.15）, （21.94±4.08）, （84.12±15.27）, （83.93±16.43） score] （P 〈 0.05 or P 〈 0.01）, and the rising rate in intervention group was much higher than that in control group （P 〈 0.05）. Conclusion The early recovery nursing intervention has obvious im-provement on bodily movement and cognitive function of patients with TBI, which can enhance the early recovery of brain function of patients and reduce the disability rate.