早期康复护理干预与急性脑梗塞患者NIHSS评分及C反应蛋白的关系

目的 探讨早期康复护理和脑卒中患者神经功能NIHSS评分以及C反应蛋白的关系.方法 选取2012年1月至2014年12月在我院住院的急性脑梗死患者150例,包括73例男性和77例女性.随机分为早期康复护理干预组和对照组.早期康复护理组和对照组均接受神经内科常规治疗及常规护理.康复护理组除接受神经内科常规治疗及常规护理外,再分阶段由神经科医师、康复医师和护士进行早期康复护理,分别于治疗前、治疗第14天和第30天对患者的神经功能缺损程度采用NIHSS评分及C反应蛋白含量的测定.结果 与对照组相比较,康复护理组干预前两者NIHSS评分无统计学差异(P＞0.05),康复护理组第14天和第30天NIHSS评分均显著降低(P＜0.05).且对照组和康复护理组两组第14天和第30天与干预前比较,均显著降低(P＜0.05).与对照组相比较,康复护理组干预前两者C反应蛋白含量无统计学差异(P＞0.05),康复护理组第14天和第30天C反应蛋白含量均显著降低(P＜0.05).且对照组和康复护理组两组第14天和第30天与干预前比较,均显著降低(P＜0.05).结论 早期康复护理可显著降低急性脑梗死患者NIHSS评分及C反应蛋白的含量,为急性脑梗死患者的临床护理提供理论依据.

Relationship Between Early Rehabilitation Nursing Intervention in Acute Cerebral Infarction Patients with NIHSS Scores and C Reactive Protein

Objective To investigate the relationship between early rehabilitation nursing and acute cerebral infarction which was evaluated by NIHSS score in acute stroke patients and with C-reactive protein.Methods 150 acute cerebral infarction patients which included 73 male and 77 female patients were randomly enrolled in our hospital from January 2012 to December 2014.All the patients were randomly divided into early rehabilitation nursing intervention group and control group.Both of the early rehabilitation nursing group and control group were treated with conventional therapy andneurology routine care.Besides the regular treatment neurology and routine care,rehabilitation nursing group was also treated by neurologist,rehabilitation physicians and nurses with early rehabilitation nursing prodecures,respectively,NIHSS score and C-reactive protein content were detected before treatment,also the 14 days and 30 days after treatment.Results Compared to the control group,NIHSS score in the rehabilitation nursing intervention group showed no significant difference (P ＞ 0.05),After 14 days and 30 days treatment,NIHSS scores in the rehabilitation nursing intervention group showed significantly decreased (P ＜0.05).After 14 days and 30 days treatment,NIHSS scores of the control group and rehabilitation nursing intervention group showed significantly decreased compared with the pre-treatment (P ＜ 0.05).Compared with the control group,C reactive protein in the rehabilitation nursing intervention group showed no significant difference (P ＞ 0.05),After 14 days and 30 days treatment,C reactive protein in the rehabilitation nursing intervention group showed significantly decreased (P ＜ 0.05).After 14 days and 30 days treatment,C reactive protein of the control group and rehabilitation nursing intervention group showed significantly decreased compared with the pre-treatment (P ＜0.05).Conclusion Early rehabilitation nursing intervention can significantly reduce the NIHSS scores and C-reactive protein content in acute cerebral infarction patients.It may provide a theoretical basis for the clinical care of acute cerebral infarction patients.