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颅脑外科手术术后失语症的早期康复锻炼

Early Rehabilitation Exercise for Aphasia after Craniocerebral Surgery
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摘要 目的探讨颅脑外科手术术后失语症的早期康复锻炼方法。方法选择2018年1月至2019年8月本院颅脑外科实施手术治疗术后出现失语症患者80例,按照随机数字法分为两组,各40例。对照组实施常规护理,主要以药物治疗、心理护理干预等为主;观察组则实施针对失语症的康复护理,比较干预后两组语言功能评分及失语商指数变化情况,分析干预后入组者生活习性中吸烟饮酒、不节制饮食及熬夜的比例,并统计干预后两组的整体临床治疗效果。结果干预后观察组语言功能评分显著高于对照组,失语商指数评分显著高于对照组(P <0.05);干预后观察组存在吸烟饮酒、不节制饮食、熬夜的比例均低于对照组(P <0.05);观察组总有效率显著高于对照组(P <0.05)。结论针对神经外科术后失语症患者,做好积极的护理康复训练,对提高患者语言能力,改善患者失语症状有积极意义,同时还可达到促进患者改变不良生活习惯的目的。 Objective To explore the early rehabilitation exercise method for aphasia after craniocerebral surgery.Methods Eighty cases with aphasia after craniocerebral surgery in our hospital from January 2018 to August 2019 were selected and randomly divided into two group,40 cases each.The control group were received routine nursing,mainly drug therapy and psychological nursing intervention.The observation group were implemented rehabilitation nursing for aphasia,compared the changes of language function score and aphasia quotient index between the two groups after the intervention,analyzed the proportion of smoking and drinking,uncontrolled diet and staying up late in the life habits of the participants after the intervention,and counted the overall clinical treatment effect of the two groups after the intervention.Results After the intervention,the language function score of the observation group was significantly higher than that of the control group,and the aphasia quotient index score was significantly higher than that of the control group(P<0.05);after the intervention,the proportions of smoking and drinking,uncontrolled diet and staying up late in the observation group were all lower than that of the control group(P<0.05),and the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion For aphasia patients after neurosurgery,active nursing and rehabilitation training is of positive significance for improving the patients’language ability and aphasia symptoms,and can also achieve the purpose of promoting patients to change their bad living habits.
作者 陈文会 CHEN Wenhui(Department of Neurosurgery,First People's Hospital of Shenyang City,Shenyang 110041,China)
出处 《中国医药指南》 2021年第19期43-45,共3页 Guide of China Medicine
关键词 颅脑外科 失语症 早期康复 Craniocerebral surgery Surgery Aphasia Early Recovery
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