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影响.docVIP

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影响 　　[摘要] 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 　　[关键词] 创伤性颅脑损伤；早期护理干预；肢体运动；认知功能 　　[中图分类号] R473.6 [文献标识码] C [文章编号] 1673-7210（2014）02（b）-0123-03 　　Influence of early recovery nursing intervention on bodily movement and cognitive function of patients with traumatic brain injure 　　CHEN Zhensu1 ZHENG Jinhui2 FANG Zhihong2 ZHANG Lingzhi2 　　1.Department of Surgical， the First Hospital of Wenling， Zhejiang Province， Wenling 317500， China； 2.Department of Surgical， Luqiao Hospital of Taizhou Enze Medical Center （Group）， Zhejiang Province， Taizhou 318050， China 　　[Abstract] 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′intervention， 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 　　[Key words] Traumatic brain injure； Early nursing intervention； Bodily movement； Cognitive function 　　创伤性颅脑损伤是神经外科常见急症，颅脑损伤常会出现不同程度的