Abstract:

Objective　To explore the application of neck stretching training in home rehabilitation after carotid endarterectomy. Methods　A comparative study method was used to select patients who underwent carotid endarterectomy (CEA) by the same group of doctors in Neurosurgery Zone 3, Jieyang People's Hospital as the study subjects. From December 2018 to June 2021, 20 patients discharged after CEA were included in the control group, and from August 2021 to June 2023, 20 patients discharged after CEA were included in the observation group. The control group [9 females and 11 males, aged (70.15±9.49) years] received routine health education before discharge and routine neck activity and follow-up after discharge, and the observation group [7 females and 13 males, aged (70.22±9.55) years] received home rehabilitation intervention of neck stretching training on the basis of control group. The differences in neck dysfunction index, pain score, satisfaction, and compliance between the two groups were collected and compared. Statistical methods were χ² test and independent sample t test. Results　On the 30th day of training, the neck dysfunction index of the observation group was lower than that of the control group [(4.28±3.37) vs. (8.73±4.97)], with a statistically significant difference (t=3.314, P=0.002); the pain score of the observation group was lower than that of the control group [(2.13±0.31) vs. (4.85±0.64)], with a statistically significant difference (t=17.016, P<0.001). The nursing satisfaction of the observation group was significantly higher than that of the control group [100.00% (20/20) vs. 60.00% (12/20)], with a statistically significant difference (χ²=10.286, P=0.006). The compliance of the observation group was significantly higher than that of the control group [100.00% (20/20) vs. 70.00% (14/20)], with a statistically significant difference (χ²=7.222, P=0.027). Conclusion　Neck stretching training has significant application value in home rehabilitation after CEA, which can be promoted.

Key words:

Carotid endarterectomy, Neck stretching training, Home rehabilitation, Application value

摘要：

目的　研讨颈部牵伸训练在颈动脉内膜切除术后患者居家康复中的应用。方法　采用前后对比研究方法，选取在揭阳市人民医院神经外科三区由同一组医生行颈动脉内膜切除术（carotid endarterectomy，CEA）的患者作为研究对象，2018年12月至2021年6月CEA术后出院患者20例为对照组，2021年8月至2023年6月CEA术后出院患者20例为观察组。对照组女9例、男11例，年龄（70.15±9.49）岁，采用常规出院前健康教育和出院后常规颈部活动及随访；观察组女7例、男13例，年龄（70.22±9.55）岁，在对照组基础上采用颈部牵伸训练居家康复进行干预。收集并比较两组患者颈部功能障碍指数、疼痛评分、满意度、依从性的差异。统计学方法采用χ²检验、独立样本t检验。结果　观察组患者训练第30天颈部功能障碍指数低于对照组［（4.28±3.37）比（8.73±4.97）］，差异有统计学意义（t=3.314，P=0.002）；观察组患者训练第30天疼痛评分低于对照组［（2.13±0.31）分比（4.85±0.64）分］，差异有统计学意义（t=17.016，P<0.001）；观察组护理满意度显著高于对照组［100.00%（20/20）比60.00%（12/20）］，差异有统计学意义（χ²=10.286，P=0.006）；观察组依从性显著高于对照组［100.00%（20/20）比70.00%（14/20）］，差异有统计学意义（χ²=7.222，P=0.027）。结论　颈部牵伸训练在颈动脉内膜切除术后患者居家康复中具有显著应用价值，可推广。

关键词:

颈动脉内膜切除术, 颈部牵伸训练, 居家康复, 应用价值