目的 检验早期颈部静力性运动对改善桥小脑角区手术患者术后颈部不适的效果.方法 将2017年3月-6月入院行桥小脑角区手术治疗的患者40例为对照组,2017年7月-11月入院行桥小脑角区手术治疗的患者40例为试验组.试验组在常规护理的基础上增加早期颈部静力性运动.采用颈部不适度评分表、量角器、Barthel指数评分表分别于术后第1天、第3天、第5天、第7天收集两组资料,进行比较分析.结果 试验组对颈部活动的参与度高,且无1例发生不良事件.试验组在术后第1天、第3天、第5天的颈部不适水平明显低于对照组(P＜0.05);术后第1天、第3天的颈部活动度以及术后第3天、第5天、第7天的Barthel指数评分均明显优于对照组(P＜0.05).结论 早期颈部静力性运动是减轻桥小脑角区手术患者术后颈部不适的一种安全有效的干预措施,可增加患者术后颈部舒适度,改善患者术后早期的体验和生活质量.%Objective To evaluate the effects of early neck isometrics exercise on relieving neck discomfort in patients after cerebellopontine angle surgeries.Methods The non-synchronous control study was conducted.The control group(40 patients recruited from March to June,2017) received routine nursing,while the intervention group (40 patients recruited from July to November,2017) performed early neck isometrics exercise in addition to routine nursing.Neck discomfort degree,neck rotation range,and Barthel score were measured and compared between two groups on Day 1,Day 3,Day 5,and Day 7 after surgeries.Results The intervention group had a high level of participation and no adverse events occurred.Neck discomfort degree of the intervention group was significantly lower than that of the control group on Day 1,Day 3,and Day 5(P＜0.05).Neck rotation range of the intervention group was improved on Day 1 and Day 3 compared with the control group(P＜0.05).Barthel score of the intervention group on Day 3,Day 5 and Day 7 was significantly better than that of the control group(P＜0.05).Conclusion Early neck isometrics exercise in patients underwent cerebellopontine angle surgeries is safe and feasible,which can alleviate discomfort of neck,and improve patients' early postoperative experience and quality of life.
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