目的 探讨术后早期肢体功能锻炼在高颈段椎管内肿瘤患者中的应用效果.方法 采用便利抽样法,选取2014年11月—2016年7月北京天坛医院神经外科脊髓脊柱病区高颈段椎管内肿瘤行手术治疗的患者60例为研究对象,按照随机数字表法分为两组,每组各30例.对照组患者予以常规护理,观察组患者实施早期肢体功能锻炼.对两组患者术后12 d肌力变化和并发症发生率进行比较.结果 术后12 d,观察组患者肌力好转16例、无变化10例、加重4例,优于对照组的4、14、12例,差异有统计学意义(χ2=11.870,P=0.003);观察组患者术后并发症发生例数低于对照组,差异有统计学意义(χ2=4.455,P=0.035).结论 早期肢体功能锻炼能够改善患者术后肌力水平,降低并发症发生率,值得临床推广应用.%Objective To explore the effects of early limb functional rehabilitation and exercise on postoperative patients with high cervical spinal cord tumors.Methods From November 2014 to July 2016, a total of 60 patients with high cervical intraspinal tumor hospitalized in the Spinal Cord Ward of Beijing Tian Tan Hospital were selected as the study subjects by convenience sampling method. All the subjects were divided into 2 groups with 30 cases in each by random number table method. The control group was given routine nursing after surgery, while the observation group was given early limb function rehabilitation training on the basis of the control group. The changes of muscle strength and the incidence of complications were compared between the two groups 12 days after operation.Results On the 12th day after operation, the muscle strength of the observation group improved in 16 cases, unchanged in 10 cases and aggravated in 4 cases, which was better than that of the control group in 4, 14 and 12 cases. The difference was statistically significant (χ2=11.870,P=0.003). The incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (χ2=4.455,P=0.035).Conclusions Early limb function exercise can improve the level of muscle strength and reduce complications after operation,which is worthy of clinical application.
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