曹霞 张玲

[摘要] 目的 探讨脑外伤术患者实施中医康复护理对患者术后运动功能、神经功能及日常生活能力的影响。方法 方便选取神经外科182例脑外伤手术患者（2016年6月—2018年6月间）实施研究，按随机数表法分组：常规组（n=91）和中医组（n=91），常规组实施常规护理，中医组实施中医康复护理干预，分析患者运动功能、神经功能、日常生活能力变化状况及病情恢复效果。结果 中医组术后3个月FMA、Barthel指数显著高于常规组（t=14.345，P<0.001;t=12.374，P<0.001），NIHSS评分显著低于常规组（t=8.121，P<0.001）。中医组病情恢复总有效率92.3%明显高于常规组80.2%（χ2=5.611，P=0.018）。结论 脑外伤术患者实施中医康复护理可有效改善患者术后运动功能、神经功能及日常生活能力，改善患者康复效果。

[关键词] 脑外伤;中医康复护理;运动功能;神经功能;日常生活能力

[中图分类号] R248          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0116-04

Analysis of the Effect of TCM Rehabilitation Nursing on Improving the Function of Patients after Traumatic Brain Injury

CAO Xia， ZHANG Ling

Department of Neurosurgery， Fuzhou Second Hospital Affiliated to Xiamen University， Fuzhou， Fujian Province， 350007 China

[Abstract] Objective To investigate the effects of TCM rehabilitation nursing on postoperative motor function， neurological function and daily living ability in patients with traumatic brain injury. Methods Convenient selected a total of 182 patients with traumatic brain surgery（between June 2016 and June 2018） were enrolled in the neurosurgery and grouped according to the random number table： regular group（n=91） and Chinese medicine group（n=91）. The regular group implemented routine nursing， and the Chinese medicine group implemented the Chinese medicine rehabilitation nursing intervention to analyze the patient's motor function， nerve function， daily life ability change status and disease recovery effect. Results The FMA and Barthel indices of the Chinese medicine group were significantly higher than those of the conventional group（t=14.345， P<0.001; t=12.374， P<0.001）. The NIHSS score was significantly lower than that of the conventional group （t=8.121， P<0.001）. The total effective rate of the recovery of the Chinese medicine group was 92.3%， which was significantly higher than that of the conventional group 80.2%（χ2=5.611， P=0.018）. Conclusion The implementation of TCM rehabilitation nursing for patients with traumatic brain injury can effectively improve the postoperative motor function， nerve function and daily living ability of patients， and improve the rehabilitation effect of patients.

[Key words] Brain trauma; TCM rehabilitation nursing; Motor function; Nerve function; Daily living ability

腦外伤是外力直接作用于头颅引起的损伤。人体头颅部位神经较多，脑外伤极易引起神经损伤，导致脑损害，从而引发感觉、运动、言语、听觉、视觉、记忆、意识等多功能障碍，并发症较多，易导致患者出现多种后遗症，病残风险高，严重时将导致患者死亡。目前医疗技术逐渐升高，脑外伤抢救效果明显提升，但脑外伤抢救成功患者仍存在较多后遗症，严重影响患者预后及生活质量。因此积极改善患者预后，促进患者功能恢复，提升自理能力是脑外伤患者治疗及护理中的重点内容[1]。目前中医理论在脑外伤患者治疗中的运用逐渐增多，中医康复护理是以中医理论为基础进行的康复护理，为明确中医康复护理对脑外伤患者预后的影响，该研究对神经外科91例脑外伤手术患者（2016年6月—2018年6月间）实施了中医康复护理干预，现报道如下。

1  资料与方法

1.1  一般资……