论文部分内容阅读
目的探究严重脑外伤患者术后废用综合征的危险因素,采取针对性措施提高严重脑外伤患者的预后生活质量。方法回顾性分析严重脑外伤术后并发废用综合征患者28例为观察组,选取同期收治的一般资料相似的56例严重脑外伤术后未并发废用综合征的患者为对照组,比较2组患者的临床资料,采用单因素分析2组患者手术方式、术后心理、医疗护理情况等的差异,筛选相关因素,再采用Logistic多因素回归分析严重脑外伤患者术后并发废用综合征的危险因素,针对相关因素和危险因素探讨预防严重脑外伤术后并发废用综合征的预防对策。结果经logistic多因素回归分析,运动神经受损、感觉神经受损、制动时间≥10d、中重度焦虑、抑郁、家属陪床、康复运动方案执行依从性差为严重脑外伤患者术后并发废用综合征的危险因素。结论影响严重脑外伤患者术后并发废用综合征的危险因素较多,护理人员应紧密配合临床医疗数据,根据患者个体情况,制定针对性的预防措施,降低患者术后并发废用综合征发生率,提高患者预后质量。
Objective To explore the risk factors of postoperative disuse syndrome in patients with severe traumatic brain injury and to take targeted measures to improve the quality of life of patients with severe traumatic brain injury. Methods A retrospective analysis of 28 cases of patients with severe combined traumatic brain injury after traumatic brain injury was used as the observation group. 56 patients with severe brain trauma without concomitant disuse syndrome who were treated in the same period were selected as the control group, and compared with 2 The clinical data of the patients were analyzed by univariate analysis of the surgical methods, postoperative psychology, medical care and other differences between the screening of relevant factors, and then using Logistic regression analysis of severe traumatic brain injury complicated with disuse syndrome Risk factors, in view of the relevant factors and risk factors to prevent the prevention of severe brain injury associated with the use of waste prevention and treatment of syndromes. Results After logistic multivariate regression analysis, motor nerve injury, sensory nerve damage, braking time ≥ 10d, moderate to severe anxiety, depression, dependents with bed, rehabilitation program for the implementation of poor compliance for patients with severe traumatic brain injury complicated by postoperative complications Risk factors for levy. Conclusion There are many risk factors for the patients with severe traumatic brain injury complicated with disuse syndrome. Caregivers should work closely with the clinical data to make targeted preventive measures to reduce the occurrence of disuse syndrome Rate, improve the quality of patient prognosis.