[1]曹宇,许时来,刘娅健.颅脑损伤术后康复护理[J].中国临床神经外科杂志,2024,29(06):377-380.[doi:10.13798/j.issn.1009-153X.2024.06.014]
 CAO YU,XU Shi-lai,LIU Ya-jian.Postoperative rehabilitation nursing for patients with traumatic brain injury[J].,2024,29(06):377-380.[doi:10.13798/j.issn.1009-153X.2024.06.014]
点击复制

颅脑损伤术后康复护理()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年06期
页码:
377-380
栏目:
综述
出版日期:
2024-06-30

文章信息/Info

Title:
Postoperative rehabilitation nursing for patients with traumatic brain injury
文章编号:
1009-153X(2024)06-0377-04
作者:
曹宇许时来刘娅健
410000长沙,湖南中医药大学第一附属医院神经外科(曹宇、许时来、刘娅健)
Author(s):
CAO YU XU Shi-lai LIU Ya-jian
Department of Neurosurgery, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha 410000, China
关键词:
颅脑损伤术后康复护理阶段性康复早期康复综合康复
Keywords:
Traumatic brain injury Postoperative rehabilitation nursing Staged rehabilitation Early rehabilitation Comprehensive rehabilitation
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2024.06.014
文献标志码:
A
摘要:
颅脑损伤是一个全球性的公共卫生问题,是导致青壮年死亡、和残疾的重要原因,尤其是重型颅脑损伤,常导致恶性颅内压增高,需要手术减压以挽救病人生命,但术后并发症风险高。术后康复护理能有效预防和处理并发症,改善颅脑损伤病人预后。颅脑损伤术后康复护理包括阶段性康复、早期康复、综合康复、中医康复等,但尚无完全规范及统一方案。本文就颅脑损伤术后康复护理进行综述,为临床提供参考。
Abstract:
Traumatic brain injury is a global public health issue and a significant cause of death and disability among young adults. Especially in cases of severe traumatic brain injury, it often leads to malignant intracranial hypertension, requiring surgical decompression to save the patient's life. However, the risk of postoperative complications is high. Postoperative rehabilitation nursing can effectively prevent and handle complications and improve the prognosis of patients with traumatic brain injury. Postoperative rehabilitation nursing for traumatic brain injury includes staged rehabilitation, early rehabilitation, comprehensive rehabilitation, and traditional Chinese medicine-based rehabilitation. However, there is no completely standardized and unified protocol yet. This article conducts a review on postoperative rehabilitation nursing for traumatic brain injury to provide a reference for clinical practice.

参考文献/References:

[1]ZOGG CK, HARING RS, XU L, et al. Patient presentations in outpatient settings: epidemiology of adult head trauma treated outside of hospital emergency departments[J]. Epidemiology, 2018,29(6): 885-894.
[2]CHANDRA VVR, MOWLISWARA PRASAD BC, BANAVATH HN, et al. Cisternostomy versus decompressive craniectomy for the management of traumatic brain injury: a randomized controlled trial[J]. World Neurosurg, 2022, 162: e58-e64.
[3]TRAVIS ZD, SHERCHAN P, HAYES WK, et al. Surgicallyinduced brain injury: where are we now[J]. Chin Neurosurg J, 2020, 6(01): 45-55.
[4]YANG X, CHEN X. The crosstalk between the blood-brain-barrier dysfunction and neuroinflammation after general anaesthesia[J]. Curr Issues Mol Biol, 2022, 44(11): 5700-5717.
[5]CHEN L, HAN Z, GU J. Early path nursing on neurological function recovery of cerebral infarction[J]. Transl Neurosci, 2019, 10(1): 160-163.
[6]VARGHESE R, CHAKRABARTY J, MENON G. Nursing management of adults with severe traumatic brain injury: a narrative review[J]. Indian J Crit Care Med, 2017, 21(10): 684-697.
[7]WANG WHH, FEI ZM, ZHANG YP, et al. Effects of rehabilitation nursing on agitation behavior of patients with traumatic brain injury[J]. Hebei Med J, 2018, 40(23): 3648-3652.王文红,费智敏,张雅萍,等. 康复期护理对脑损伤病人并发激越情绪行为的影响[J]. 河北医药,2018,40(23):3648-3652.
[8]TOMOTO T, LE T, TARUMI T, et al. Carotid arterial compliance and aerobic exercise training in chronic traumatic brain injury: apilot study[J]. Head Trauma Rehabil, 2022, 37(5): 263-271.
[9]CHENG Q, SUN J, LI XF. Analysis of the application effect of stagednursing model in patients with craniocerebral trauma[J]. Med InnovChina, 2022, 19(20): 84-87.程 群,孙 骥,李秀芬. 分期式护理模式在颅脑外伤病人中的应用效果分析[J]. 中国医学创新,2022,19(20):84-87.
[10]LI Q, LIN XL. Application value of staged target intervention combined with predictive nursingintervention in early rehabilitation nursing of craniocerebral trauma[J]. Clin Res Prac, 2020, 5(33): 188-190.李 琼,林晓丽. 阶段性目标干预联合预见性护理干预在颅脑外伤早期康复护理中的应用价值[J]. 临床医学研究与实践,2020,5(33):188-190.
[11]LUO MX. Effect of staged rehabilitation nursing on postoperativeNIHSS score and limb motor function of patients undergoing craniocerebral trauma[J]. Nurs Prac Res, 2020, 17(21): 91-93.罗民香. 阶段式康复护理对颅脑外伤病人术后NIHSS评分及肢体运动功能的影响[J]. 护理实践与研究,2020,17(21):91-93.
[12]HU XM. Effect of staging rehabilitation nursing on postoperativemotor function and neurological function in patients with craniocerebral trauma[J]. J Clin Med Prac, 2016, 20(8): 77-79, 86.胡晓曼. 阶段式康复护理对颅脑外伤病人术后肢体运动及神经功能的影响[J]. 实用临床医药杂志,2016,20(8):77-79,86.
[13]KURTZ P, ROCHA EEM. Nutrition therapy, glucose control, and brain metabolism in traumatic brain injury: a multimodal monitoringapproach[J]. Front Neurosci, 2020, 14: 190-206.
[14]SMITH-RYAN AE, HIRSCH KR, SAYLOR HE, et al. Nutritional considerations and strategies to facilitate injury recovery and rehabilitation[J]. J Athl Train, 2020, 55(9): 918-930.
[15]MU XM, TANG YH, WEI Y, et al. Effect of early comprehensiverehabilitation treatment on cognitive dysfunction in patients with severe traumatic brain injury[J]. Chin J Biomed Engin, 2020, 26(4):334-340.母晓明,唐艳华,魏 月,等. 早期综合康复治疗对重度脑外伤病人认知功能障碍的影响[J]. 中华生物医学工程杂志,2020,26(4):334-340.
[16]XU HL. Effect of early nursing intervention on awakening efficacy inpatients with craniocerebral trauma[J]. J Clin Med Prac, 2019, 23(4): 108-109.许红丽. 早期护理干预对颅脑外伤病人促醒效果的影响[J]. 实用临床医药杂志,2019,23(4):108-109.
[17]PALLESEN H, HONORE H, AADAL L, et al. Improved activeparticipation among patients with severe acquired brain injury in early rehabilitation: implementation of a professional competence development intervention[J]. Work, 2022, 72(4): 1381-1396.
[18]YANG Y, NIU L. Effect of early rehabilitation nursing on motor function and living ability of patients with traumatic brain injury based on orem's self-care theory[J]. Comput Intell Neurosci, 2022, 2022: 7727085-7727093.
[19]LI Q, YAO GQ, XU LL, et al. Clinical application of comprehensive rehabilitation in patients with craniocerebral trauma[J]. Chin JGene Prac, 2019, 17(9): 1579-1581.李 群,姚国权,徐礼林,等. 综合康复在颅脑外伤病人中的临床应用研究[J]. 中华全科医学,2019,17(9):1579-1581.
[20]YANG Z. The value of comprehensive nursing intervention inpatients with severe craniocerebral injury[J]. Guide China Med, 2022, 20(27): 155-157, 161.杨 子. 重症颅脑损伤手术病人应用综合性护理干预的价值[J]. 中国医药指南,2022,20(27):155-157+161.
[21]LI YY. Application of rehabilitation nursing in patients with brain trauma in persistent vegetative state[J]. Nurs Prac Res, 2016, 13(15): 150-151.黎燕银. 康复护理在脑外伤持续性植物状态病人中的应用[J]. 护理实践与研究,2016,13(15):150-151.
[22]TANG L, YANG F, HOU LM. Investigate the effect of TCM rehabilitation care for traumatic brain injury patients on social support and functional recovery[J]. Labor Med Clin, 2016, 13(z2): 133-136.唐 利,杨 芳,侯黎明. 探讨中医康复护理对脑外伤术后病人社会支持度及功能恢复的影响[J]. 检验医学与临床,2016,13(z2):133-136.
[23]WU SS, GU TQ REN QN, et al. Effect of comprehensive nursing measures of chinese medicine on cognitive function and motor function of patients after operation for traumatic brain injury[J]. J New Chin Med, 2020, 52(12): 199-202.吴珊珊,顾塘青,任娇娜,等. 中医综合护理措施对脑外伤术后病人认知功能和运动功能的影响[J]. 新中医,2020,52(12):199-202.
[24]CAI PP, WU SS, GU TQ. Study on the effect of chinese medicine emotional nursing combined with point-application on the emotion and quality of life in postoperative patients with operation for brain injury[J]. J New Chin Med, 2020, 52(2): 141-144.蔡盼盼,吴珊珊,顾塘青. 中医情志护理配合穴位贴敷对脑外伤术后病人情感、生活质量影响的研究[J]. 新中医,2020,52(2):141-144.

相似文献/References:

[1]张善纲 综述.现代战争中颅脑损伤的特点及功能康复[J].中国临床神经外科杂志,2015,(11):701.[doi:10.13798/j.issn.1009-153X.2015.11.021]
[2]钟秀均 黄书岚.复方醒脑液治疗颅脑损伤后综合征的临床观察[J].中国临床神经外科杂志,2016,(05):278.[doi:10.13798/j.issn.1009-153X.2016.05.007]
 ZHONG Xiu-jun,HUANG Shu-lan..Clinical observation on treatment of compound decoction for cerebral prorection for post-traumatic brain syndrome[J].,2016,(06):278.[doi:10.13798/j.issn.1009-153X.2016.05.007]
[3]李国亮 邸 方 杨亚东.香芹酚通过抑制脑水肿与氧化应激反应保护大鼠 颅脑损伤[J].中国临床神经外科杂志,2016,(05):283.[doi:10.13798/j.issn.1009-153X.2016.05.009]
 LI Guo-liang,DI Fang,YANG Ya-dong..Carvacrol protects against traumatic brain injury in rats through suppressing the brain edma and oxidative stress[J].,2016,(06):283.[doi:10.13798/j.issn.1009-153X.2016.05.009]
[4]罗心凯 陈治标 陈谦学.免缝胶原海绵人工硬脑膜在颅脑损伤大骨瓣减压术中的应用[J].中国临床神经外科杂志,2016,(06):357.[doi:10.13798/j.issn.1009-153X.2016.06.012]
 LUO Xin-kai,CHEN Zhi-biao,CHEN Qian-xue..Application of collagen sponge artificial dura without suturing to big bone flap decompression after traumatic brain injury[J].,2016,(06):357.[doi:10.13798/j.issn.1009-153X.2016.06.012]
[5]贺瑛福 肖宗宇 马进海 许常林 裴 杰 袁 岗 张广华  巨 虎.高海拔地区重型颅脑损伤血清FSH、LH、PRL的变化[J].中国临床神经外科杂志,2016,(06):359.[doi:10.13798/j.issn.1009-153X.2016.06.013]
 HE Ying-fu,XIAO Zong-yu,MA Jin-hai,et al.Changes in serum FSH, LH and PRL levels in the patients with severe traumatic brain injury in plateau[J].,2016,(06):359.[doi:10.13798/j.issn.1009-153X.2016.06.013]
[6]满明昊 李立宏 杨彦龙 李 敏 郭少春.颅脑损伤术后细胞免疫指标变化及脾多肽对其影响[J].中国临床神经外科杂志,2016,(06):362.[doi:10.13798/j.issn.1009-153X.2016.06.014]
 MAN Ming-hao,LI Li-hong,YANG Yan-yong,et al.Changes in peripheral cells immunity after operation and effect of spleen polypeptide on them in patients with traumatic brain injury[J].,2016,(06):362.[doi:10.13798/j.issn.1009-153X.2016.06.014]
[7]程 勇 秦加新 戢翰升 李 刚 聂劲林 李 强.颅脑损伤术中急性脑膨出的相关因素分析[J].中国临床神经外科杂志,2016,(06):374.[doi:10.13798/j.issn.1009-153X.2016.06.019]
[8]张一帆 综述 张国来 审校.弥漫性轴索损伤影像学诊断的研究进展[J].中国临床神经外科杂志,2016,(07):442.[doi:10.13798/j.issn.1009-153X.2016.07.020]
[9]陈吉钢 张丹枫 魏嘉良 邹 伟 侯立军.创伤性眶上裂综合征的治疗陈吉钢[J].中国临床神经外科杂志,2016,(04):200.[doi:10.13798/j.issn.1009-153X.2016.04.003]
 CHEN Ji-gang,ZHANG Dan-feng,WEI Jiang-liang,et al.Management of traumatic superior orbital fissure syndrome (report of 22 cases)[J].,2016,(06):200.[doi:10.13798/j.issn.1009-153X.2016.04.003]
[10]肖连福 黄瑞宏 陈昌勇.外伤性颅内静脉窦血栓形成1例[J].中国临床神经外科杂志,2016,(04):256.[doi:10.13798/j.issn.1009-153X.2016.04.024]

备注/Memo

备注/Memo:
(2023-07-03收稿,2024-01-15修回)
更新日期/Last Update: 2024-06-30