早期护理康复干预对急性脑梗死患者神经系统炎症反应及康复的影响

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目的:探究早期护理康复干预对急性脑梗死患者神经系统炎症反应及康复的影响。方法:选取2014年2月至2015年6月就诊于中山大学附属第三医院粤东医院的70例急性脑梗死患者,随机分为两组,各35例。对照组患者实施常规护理方式,观察组患者在常规护理的基础上实施早期护理康复干预,比较两组患者干预前、干预后2周、4周血清超敏C反应蛋白(hs-CRP)值及神经功能缺损,并评价两组康复情况。结果:干预前两组患者的美国国立神经功能缺损评分(NHISS)评分比较,差异无统计学意义(P>0.05),而干预后2周、4周观察组NHISS评分与对照组相比有明显的下降,差异具有统计学意义(P<0.05);干预前、干预后2周两组hs-CRP值比较,差异无统计学意义(P>0.05),而干预后4周观察组的血清hs-CRP值较对照组有明显下降,差异具有统计学意义(P<0.05);观察组痊愈率71.43%,明显高于对照组的45.71%,而死亡率5.71%,较对照组的34.29%有明显的下降,差异具有统计学意义(P<0.05)。结论:采用早期护理康复干预治疗急性脑梗死患者具有良好的效果,能有效改善患者的神经系统缺损及神经系统炎症反应,降低患者的死亡率。 Objective: To investigate the effect of early nursing intervention on nervous system inflammation and rehabilitation in patients with acute cerebral infarction. Methods: From February 2014 to June 2015, 70 patients with acute cerebral infarction who were treated at Yue Dong Hospital of the Third Affiliated Hospital of Sun Yat-sen University were randomly divided into two groups of 35 patients. The patients in the control group were given routine nursing care. The patients in the observation group were given early nursing intervention on the basis of routine nursing care. The levels of serum hs-CRP and the serum levels of hs-CRP in the two groups before and after intervention were compared Neurological impairment, and evaluation of the two groups of rehabilitation. Results: There was no significant difference in NHISS score between the two groups before intervention (P> 0.05), while the scores of NHISS in observation group at 2 weeks and 4 weeks after intervention were significantly higher than those in control group (P <0.05). There was no significant difference in hs-CRP between the two groups before intervention and two weeks after intervention (P> 0.05), while the serum hs -CRP decreased significantly compared with the control group, the difference was statistically significant (P <0.05); the cure rate of the observation group was 71.43%, which was significantly higher than that of the control group (45.71%), while the death rate was 5.71%, 34.29% Significant decline, the difference was statistically significant (P <0.05). Conclusion: The early nursing rehabilitation intervention in patients with acute cerebral infarction has a good effect, can effectively improve the patient’s nervous system defects and nervous system inflammatory response, reduce patient mortality.
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