杨莹++金米拉++韩圣

[摘要] 目的 探究早期康復护理干预对胶质母细胞瘤患者术后运动功能及语言功能的影响。方法 选取2014年5月～2016年5月在中国医科大学附属第一医院接受手术治疗的80例胶质母细胞瘤患者，采取随机数字表法分为对照组与观察组，每组各40例，对照组仅给予常规护理，观察组给予早期康复护理。连续护理1个月后，比较两组患者术后运动功能、语言功能及生活质量；其中采用运动功能状态积分（Fugl-Meye）量表评分及日常生活活动能力（Barthel）指数评价患者运动功能。结果 两组患者护理前Fugl-Meye量表评分及Barthel指数比较，差异无统计学意义（P > 0.05）。与护理前比较，两组患者护理后Fugl-Meye量表评分及Barthel指数增高，观察组护理后升高更加显著，差异有统计学意义（P < 0.05）。两组患者护理前语言功能比较，差异无统计学意义（P > 0.05）。与护理前比较，两组患者护理后语言功能均有所改善，观察组护理后改善更加显著，差异有统计学意义（P < 0.05）。两组患者护理前生活质量评分比较，差异无统计学意义（P > 0.05）。与护理前比较，两组患者护理后生活质量评分较高，观察组护理后升高更加显著，差异有统计学意义（P < 0.05）。结论 给予胶质母细胞瘤患者早期康复护理干预可有效促进提高运动功能及语言功能，提高生活质量。

[关键词] 早期康复护理干预；胶质母细胞瘤；运动功能；语言功能

[中图分类号] R473.73 [文献标识码] A [文章编号] 1673-7210（2017）01（b）-0135-04

The effect of early rehabilitation nursing intervention on movement function and language function of postoperative patients with glioblastoma

YANG Ying1 JIN Mila1 HAN Sheng2

1.Operating Room， the First Hospital of China Medical University， Liaoning Province， Shenyang 110001， China； 2.Department of Neurosurgery， the First Hospital of China Medical University， Liaoning Province， Shenyang 110001， China

[Abstract] Objective To explore the influence of early rehabilitation nursing intervention on movement function and language function of postoperative patients with glioblastoma. Methods From May 2014 to May 2016， 80 patients with glioblastoma treated in the First Hospital of China Medical University were selected. All the patients divided into observation group and control group， with 40 cases in each group， according to the random number table. The control group were given routine nursing， and the observation group were given early rehabilitation nursing care. One month after nursing， the postoperative movement function， language function and quality of life in the two groups were compared. And the movement function was evaluated by the Fugl-Meye rating scale and Barthel index. Results There had no statistically significant difference about the Fugl-Meye rating scale and Barthel index of the two groups before nursing（P > 0.05）. The Fugl-Meye rating scale and Barthel index of the two groups after nursing were higher than before， and the Fugl-Meye rating scale and Barthel index of the observation group was higher than those of the control croup， with the statistically significant difference （P < 0.05）. There had no statistically significant difference about the language function of the two groups before nursing（P > 0.05）.The language function of the two groups after nursing were improved compared with before， and the language function of the observation group was better than that of the control group， with the statistically significant difference（P < 0.05）.There had no statistically significant difference about the life quality scale score of the two groups before nursing（P > 0.05）.The life quality scale score of the two groups after nursing were higher than before， and the increase of the observation group was more remarkable than the control group， with the statistically significant difference （P < 0.05）. Conclusion Applying the early rehabilitation nursing in the patients with glioblastoma can effectively improve the movement function and language function， improve the quality of life.

[Key words] Early rehabilitation nursing intervention； Glioblastoma； Movement function； Language function

据调查资料显示，胶质母细胞瘤作为临床上一类发病率较高的原发性中枢神经系统恶性肿瘤，占全部颅内原发性肿瘤中的45%～55%，以20～50岁作为发病的高峰期，易导致患者死亡；目前在治疗时将手术作为首选，术后配合常规放化疗以获得良好的治疗效果[1-2]。但有研究报道指出，胶质母细胞瘤在颅内呈现出浸润性生长，通常与周围正常组织无明显的分界线，在实施手术治疗时可能对血管及神经造成一定的损伤，对患者的运动及语言功能造成不同程度的影响[3-4]。因……