Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2025; 4: (11) ; 10.12208/j.jacn.20250586 .
总浏览量: 14
石河子大学第一附属医院神经外科 新疆石河子
*通讯作者： 刘佳琦,单位：石河子大学第一附属医院神经外科 新疆石河子；
目的 探讨予以脑出血患者超早期康复护理对其术后并发症、炎症应激状况及康复效果的影响。方法 选取52例脑出血患者，均2024年9月-2025年8月在本院神经外科接受治疗，随机分作2组，26例一般组予以常规护理，26例康复组在常规护理基础上予以超早期康复护理，对比2组术后并发症、炎症应激状态[肿瘤坏死因子ɑ（TNF-ɑ）、超氧化物歧化酶（SOD）]、康复效果[美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评分量表（FMA）]。结果 康复组并发症率（3.85%）较一般组低（23.08%）（P＜0.05）；康复组护理后TNF-ɑ较一般组低，SOD较一般组高（P＜0.05）；康复组护理后NIHSS、FMA优于一般组（P＜0.05）。结论 在脑出血患者中，对超早期康复护理进行应用可促进其术后并发症减少，并使其炎症应激状态改善，进一步提升康复效果。
Objective To explore the effects of ultra early rehabilitation nursing on postoperative complications, inflammatory stress status, and rehabilitation outcomes in patients with cerebral hemorrhage. Methods 52 patients with cerebral hemorrhage were selected and treated in the neurosurgery department of our hospital from September 2024 to August 2025. They were randomly divided into two groups: 26 patients in the general group received routine nursing care, and 26 patients in the rehabilitation group received ultra early rehabilitation nursing care in addition to routine nursing care. The postoperative complications, inflammatory stress status [tumor necrosis factor alpha (TNF alpha), superoxide dismutase (SOD)], and rehabilitation effects [National Institutes of Health Stroke Scale (NIHSS), Fugl Meyer Motor Function Rating Scale (FMA)] were compared between the two groups. Results The complication rate of the rehabilitation group (3.85%) was lower than that of the general group (23.08%) (P<0.05); After nursing care, the TNF - α level in the rehabilitation group was lower than that in the general group, and the SOD level was higher than that in the general group (P<0.05); The NIHSS and FMA of the rehabilitation group were better than those of the general group after nursing (P<0.05). Conclusion The application of ultra early rehabilitation nursing in patients with cerebral hemorrhage can promote the reduction of postoperative complications and improve their inflammatory stress state, further enhancing the rehabilitation effect.
[1] 刘怡,葛贝贝.心理护理联合高压氧疗在脑出血康复期患者中的应用效果[J].医学临床研究,2024,41(4):607-609.
[2] 朱甜甜.浅析围术期康复护理对脑出血患者术后感染及炎症应激状态的影响[J].中国感染与化疗杂志,2023, 23(4): 538-538.
[3] 宋馨.阶梯式康复护理在脑出血术后患者中的应用效果[J].中国民康医学,2023,35(1):168-170.
[4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J].中华神经科杂志,2019,52(12):994-1005.
[5] 白娟,马彩霞,吴红梅,等.思维导图下多功能诱导训练联合卧位强化护理对急性脑出血康复期护理效果的影响[J].国际护理学杂志,2025,44(10):1867-1872.
[6] 马小华.早期康复护理联合健康教育对高血压脑出血的效果观察[J].中国药业,2024,33(S1):227-229.
[7] 孙嵩,金鑫,顾靖宇,等.全身炎症反应相关指标与脑出血严重程度的关系及其对预后的预测价值[J].临床神经外科杂志,2024,21(6):683-688.
[8] 朱穗榕.基于目标导向康复训练对脑出血术后患者神经功能缺损及肢体康复的影响[J].中外医学研究,2024, 22(32): 113-116.