CAJ | 학술논문

目的：探讨循证护理对高血压脑出血手术患者应激水平及康复功能的影响。方法以我院2010年1月～2013年7月间收治的80例高血压脑出血患者为研究对象，随机分为观察组和对照组，在积极治疗原发病的基础上，观察组患者增加循证护理干预内容，比较两组患者急性期脑组织氧化应激水平、治疗后神经缺损情况、运动功能、康复治疗和后遗症发生率之间的差异。结果观察组患者急性期脑组织氧化应激水平低于对照组，其神经功能缺损情况较对照组轻，在康复期，观察组患者Fuglmeyer运动能力积分高于对照组，康复质量优于对照组，后遗症发生率低于对照组。结论循证护理可以降低高血压脑出血患者急性期脑组织氧化应激水平，减轻脑出血后继发脑组织损伤程度，保护脑组织功能，提高患者运动能力和生活质量，并降低患者发生相关后遗症的危险。
목적：탐토순증호리대고혈압뇌출혈수술환자응격수평급강복공능적영향。방법이아원2010년1월～2013년7월간수치적80례고혈압뇌출혈환자위연구대상，수궤분위관찰조화대조조，재적겁치료원발병적기출상，관찰조환자증가순증호리간예내용，비교량조환자급성기뇌조직양화응격수평、치료후신경결손정황、운동공능、강복치료화후유증발생솔지간적차이。결과관찰조환자급성기뇌조직양화응격수평저우대조조，기신경공능결손정황교대조조경，재강복기，관찰조환자Fuglmeyer운동능력적분고우대조조，강복질량우우대조조，후유증발생솔저우대조조。결론순증호리가이강저고혈압뇌출혈환자급성기뇌조직양화응격수평，감경뇌출혈후계발뇌조직손상정도，보호뇌조직공능，제고환자운동능력화생활질량，병강저환자발생상관후유증적위험。
Objective To analysis the effect of evidence-based nursing in the rehabilitation treatment and oxidative stress response for the hypertensive cerebral hemorrhage. Methods 80 cases with hypertensive cerebral hemorrhage were randomLy divided into objective group and control group.The objective group was added evidence-based nursing interventions The difference of the level of oxidative stress response, nerve defect situation,the motor function,rehabilitation therapy effect and the incidence of sequela were compared. Results In the comparison of the level of oxidative stress response,the objective group was lower than the control group.In the rehabilitation therapy period,the score of nerve defect situation and Fuglmeyer were more positive than the control group.Meanwhile,there was the similar results in terms of rehabilitation therapy effect and the incidence of sequela between the two group. Conclusion It would get a satisfactory effect to use evidence-based nursing in the treatment for the hypertensive cerebral hemorrhage.