【摘要】 目的 研究颅脑外伤术后患者护理中医护一体化护理干预对脑血流灌注参数、心理状态的影响。方法 观察对象为2018年1月至2022年1月入院的66例颅脑外伤患者，随机分为研究组（33例）与对照组（33例），研究组行常规护理干预，对照组行医护一体化护理干预；比较两组干预前后脑血流灌注参数[脑血流量（CBF）、脑血容量（CBV）]、心理状态[汉密顿焦虑量表（HAMA）评分、汉密顿抑郁量表（HAMD）评分]、运动功能[Fugl-Meyer运动功能评分量表（FMA）评分]、精神状态[简明智力状态检查量表（MMSE）评分]、神经功能[中国脑卒中量表（CSS）评分]及生活能力[日常生活活动能力量表（ADL）评分]。结果 研究组干预后CBF、CBF水平与FMA评分、MMSE评分均较对照组更高，HAMA评分、HAMD评分、CSS评分、ADL评分均较对照组低，差异有统计学意义（P <0.05）。结论 颅脑外伤术后患者护理中医护一体化护理干预的应用效果显著，可有效改善患者的脑血流灌注及心理状态，还可促使其运动功能、精神状态、神经功能及生活能力的快速恢复。更多还原

【Abstract】 Objective To study the influence of integrated nursing intervention of traditional Chinese medicine and nursing on cerebral blood perfusion parameters and psychological state of patients after craniocerebral trauma surgery. Methods The subjects were 66 patients with craniocerebral trauma admitted from January 2018 to January 2022. They were randomly divided into the study group(33 cases) and the control group(33 cases). The study group received routine nursing intervention, and the control group received integrated medical and nursing intervention. The cerebral blood flow perfusion parameters [cerebral blood flow(CBF), cerebral blood volume(CBV)], psychological status [Hamilton Anxiety scale(HAMA) score,Hamilton Depression Scale(HAMD) score], motor function [Fugl-Meyer Assessment Scale(FMA) score], mental state [Mini-mental State Examination(MMSE) score], spiritual function [Chinese Stroke Scale(CSS) score] and ability to live [Activities of Daily Living(ADL) score] were compared between the two groups before and after the intervention. Results After intervention, CBF, CBF level, FMA score and MMSE score in the study group were higher than those in the control group, while HAMA score, HAMD score, CSS score and ADL score were lower than those in the control group,with significant differences(P<0.05). Conclusion The application effect of integrated nursing intervention of traditional Chinese medicine and nursing care for patients after craniocerebral trauma operation is significant, which can effectively improve the cerebral blood flow perfusion and psychological state of patients, and can also promote the rapid recovery of their motor function, mental state, neural function and living ability.更多还原