早期护理干预对成人缺氧缺血性脑病患者症状及预后的影响
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摘要
目的探讨早期护理干预对成人缺氧缺血性脑病患者症状及预后的影响。方法研究时间为2013年8月—2017年7月,方便选择在该院诊治的成人缺氧缺血性脑病患者44例,根据护理方法的不同分为观察组24例与对照组20例,所有患者都给予常规治疗,治疗观察4周,对照组在治疗期间给予常规护理,观察组在治疗期间早期护理干预,记录两组症状与预后情况。结果观察组的总有效率为100.0%,对照组为80.0%,观察组与对照组对比差异有统计学意义(χ2=9.600,P<0.05)。观察组与对照组护理后的MoCA认知功能评分高于护理前,观察组评分高于对照组,对比差异有统计学意义(P<0.05)。结论早期护理干预在成人缺氧缺血性脑病患者中的应用能提高认知功能与治疗效果,促进预后的改善。
Objective To investigate the effects of early nursing intervention on the symptoms and prognosis of adults with hypoxic ischemic encephalopathy. Methods The study time was from August 2013 to July 2017. 44 patients with hypoxic ischemic encephalopathy were convenient selected and treated in our hospital. According to different nursing methods, 24 patients in the observation group and 20 patients in the control group, all patients with routine treatment, and the treatment was observed for 4 weeks. The control group received routine nursing during the treatment period. The observation group was treated with early nursing intervention during the treatment period, and the symptoms and prognosis of the two groups were recorded. Results The total effective rate was 100.0% in the observation group and 80.0% in the control group. The difference between the observation group and the control group was statistically significant(χ2=9.600, P<0.05). The MoCA cognitive function scores of the observation group and the control group were higher than those of the control group before the nursing, and the observation group score was higher than the control group. The difference was statistically significant(P<0.05). Conclusion The application of early nursing intervention in adult patients with hypoxic ischemic encephalopathy can improve cognitive function and therapeutic effect and promote the improvement of prognosis.
Objective To investigate the effects of early nursing intervention on the symptoms and prognosis of adults with hypoxic ischemic encephalopathy. Methods The study time was from August 2013 to July 2017. 44 patients with hypoxic ischemic encephalopathy were convenient selected and treated in our hospital. According to different nursing methods, 24 patients in the observation group and 20 patients in the control group, all patients with routine treatment, and the treatment was observed for 4 weeks. The control group received routine nursing during the treatment period. The observation group was treated with early nursing intervention during the treatment period, and the symptoms and prognosis of the two groups were recorded. Results The total effective rate was 100.0% in the observation group and 80.0% in the control group. The difference between the observation group and the control group was statistically significant(χ2=9.600, P<0.05). The MoCA cognitive function scores of the observation group and the control group were higher than those of the control group before the nursing, and the observation group score was higher than the control group. The difference was statistically significant(P<0.05). Conclusion The application of early nursing intervention in adult patients with hypoxic ischemic encephalopathy can improve cognitive function and therapeutic effect and promote the improvement of prognosis.
引文
[1]柏星海.神经节苷脂联合丹参治疗成人缺氧缺血性脑病疗效观察[J].湖北中医药大学学报,2015,17(2):76-77.
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[8]纪丽鑫.综合康复干预改善颅脑外伤患者机体功能的效果分析[J].当代医学,2018,24(3):137-139.
[9]曾将荣.脑卒中偏瘫患者康复护理介入时机的研究进展[J].实用临床护理学电子杂志,2018,3(6):185-185.
[10] Nagy I, FabóD. Clinical neurophysiological methods in diagnosis and treatment of cerebrovascular diseases[J].Ideggyogy Sz,2018,71(1-2):7-14.
[11]陈晓锋,陈静文,陈美云.延续认知训练对卒中患者认知康复效果的影响[J].医学理论与实践,2017,30(13):2007-2009.
[12]张秉坤,高燕,施爱民,等.高压氧辅助治疗脑功能障碍630例临床分析[J].中国冶金工业医学杂志,2011,28(1):36-37.
[13] Palmcrantz S, Sommerfeld DK. Development and validation of the Swedish national stroke register Riksstroke's questionnaires in patients at 3 and 12 months after stroke:a qualitative study[J].BMJ Open,2018,8(2):702-711.
[14] Li Y, Liu K, Kang ZM, et al. Helium preconditioning protects against neonatal hypoxia-ischemia via nitric oxide mediated up-regulation of antioxidases in a rat model[J].Behav Brain Res,2016,1(300):31-37.
[15] Zhu M, Lu M, Li QJ, et al. Hyperbaric oxygen suppresses hypoxic-ischemic brain damage in newborn rats[J].J Child Neurol,2015,30(1):75-82.
[2]陆剑平.成人心肺复苏后缺氧缺血性脑病继发癫痫的临床分析及脑电图特点[J].中国实用医药,2015,10(36):39-40.
[3]许雯.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[J].医药前沿,2018,8(9):310-311.
[4]贾燕.早期护理干预对脑梗死患者功能康复的影响[J].中国民间疗法,2018,26(1):78-79.
[5]史艳敏,渠丽娟,徐雪云.脑出血患者脑疝的早期发现与护理研究[J].现代医药卫生,2018,34(1):110-112.
[6] Van De Heyning CM, De Maeyer C, Pattyn N, et al. Impact of aerobic interval training and continuous training on left ventricular geometry and function:a SAINTEX-CAD substudy[J].Int J Cardiol,2018,15(257):193-198.
[7]王娜.预见性护理防止早期肝性脑病病情加重价值分析[J].智慧健康,2018,4(5):126-127.
[8]纪丽鑫.综合康复干预改善颅脑外伤患者机体功能的效果分析[J].当代医学,2018,24(3):137-139.
[9]曾将荣.脑卒中偏瘫患者康复护理介入时机的研究进展[J].实用临床护理学电子杂志,2018,3(6):185-185.
[10] Nagy I, FabóD. Clinical neurophysiological methods in diagnosis and treatment of cerebrovascular diseases[J].Ideggyogy Sz,2018,71(1-2):7-14.
[11]陈晓锋,陈静文,陈美云.延续认知训练对卒中患者认知康复效果的影响[J].医学理论与实践,2017,30(13):2007-2009.
[12]张秉坤,高燕,施爱民,等.高压氧辅助治疗脑功能障碍630例临床分析[J].中国冶金工业医学杂志,2011,28(1):36-37.
[13] Palmcrantz S, Sommerfeld DK. Development and validation of the Swedish national stroke register Riksstroke's questionnaires in patients at 3 and 12 months after stroke:a qualitative study[J].BMJ Open,2018,8(2):702-711.
[14] Li Y, Liu K, Kang ZM, et al. Helium preconditioning protects against neonatal hypoxia-ischemia via nitric oxide mediated up-regulation of antioxidases in a rat model[J].Behav Brain Res,2016,1(300):31-37.
[15] Zhu M, Lu M, Li QJ, et al. Hyperbaric oxygen suppresses hypoxic-ischemic brain damage in newborn rats[J].J Child Neurol,2015,30(1):75-82.