Liu Xiuhua, Zhang Ping, Guo Caihong, Xu Jing, Hu Ming
Department of Nursing, Xuzhou No. 1 People's Hospital, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Department of Critical Care Medicine, Xuzhou No. 1 People's Hospital, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Exp Ther Med. 2019 Jun;17(6):4598-4604. doi: 10.3892/etm.2019.7486. Epub 2019 Apr 15.
Rehabilitation therapy combined with nursing intervention in postoperative recovery of patients with hypertensive intracerebral hemorrhage was investigated. Retrospective analysis was carried out in 78 patients with severe HICH hematoma evacuation after treatment in Xuzhou No. 1 People's Hospital, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University from March 2014 to July 2017. The 28 patients who received routine treatment and nursing care were regarded as the control group, the 27 patients who underwent rehabilitation training based with routine treatment and nursing care were the rehabilitation training group. Moreover, the 23 patients who underwent rehabilitation training and nursing intervention based on routine treatment were regarded as the nursing intervention group. Systolic blood pressure, diastolic blood pressure, and Fugl-Meyer scores were compared immediately after surgery (T1), 4 weeks after treatment (T2) and 12 weeks after treatment (T3). During the period of T3, the total effective rate and adverse reactions were compared among the three groups of patients. The systolic blood pressure and diastolic blood pressure at T3 among the three groups were significantly lower than both T2 and T1, and the systolic and diastolic blood pressure of T2 was lower than T1 (P<0.05). Among the three groups of patients, the Fugl-Meyer score at T3 was significantly higher than both the T2 and T1, and the Fugl-Meyer score at T2 was higher than T1 (P<0.050). In the control group, the number of patients with shoulder-hand syndrome, hemorrhoids, and depression was significantly higher than both the rehabilitation training group and the nursing intervention group (P<0.050). The number of people with depression in the rehabilitation training group was significantly higher than the nursing intervention group (P<0.050). Rehabilitation therapy and nursing intervention are better than routine treatment and nursing for postoperative recovery of HICH patients, and has a lower adverse reaction rates after surgery, it is worthy of promotion clinically.
探讨康复治疗联合护理干预对高血压脑出血患者术后康复的影响。对2014年3月至2017年7月在徐州医科大学附属徐州医院徐州市第一人民医院接受治疗的78例重症高血压脑出血血肿清除术后患者进行回顾性分析。将28例接受常规治疗和护理的患者作为对照组，27例在常规治疗和护理基础上进行康复训练的患者作为康复训练组。此外，将23例在常规治疗基础上进行康复训练和护理干预的患者作为护理干预组。比较术后即刻（T1）、治疗4周后（T2）和治疗12周后（T3）的收缩压、舒张压和Fugl-Meyer评分。在T3期间，比较三组患者的总有效率和不良反应。三组患者T3时的收缩压和舒张压均显著低于T2和T1，T2时的收缩压和舒张压低于T1（P<0.05）。三组患者中，T3时的Fugl-Meyer评分显著高于T2和T1，T2时的Fugl-Meyer评分高于T1（P<0.05）。对照组中，肩手综合征、痔疮和抑郁症患者的数量显著高于康复训练组和护理干预组（P<0.05）。康复训练组中抑郁症患者的数量显著高于护理干预组（P<0.05）。康复治疗和护理干预对高血压脑出血患者术后康复优于常规治疗和护理，且术后不良反应发生率较低，值得临床推广。
