The application effect of a nursing model centered on early functional rehabilitation in patients undergoing arterial intervention thrombectomy for cerebral infarction
以早期功能康复为核心的护理模式在脑梗死动脉介入取栓术病人中的应用效果

摘要

目的 观察以早期功能康复为核心的护理模式在脑梗死动脉介入取栓术病人中的应用效果。方法 选取本院2023年1月-2025年12月本院收治的行动脉介入取栓术的急性脑梗死患者86例，采用随机数字表法分为观察组与对照组，每组43例。对照组实施神经内科常规围术期护理，观察组在常规护理基础上实施以早期功能康复为核心的护理模式，比较两组护理效果。结果 术后14d及30d，观察组NIHSS（美国国立卫生研究院卒中量表）评分、FMA（Fugl-Meyer运动功能评定量表）评分及BI（Barthel Index巴氏指数）评分均明显高于对照组（P<0.05）。观察组总并发症发生率明显低于对照组（P<0.05）。结论 以早期功能康复为核心的护理模式应用于脑梗死动脉介入取栓术后患者，能够有效促进神经功能修复，提升肢体运动能力和日常生活自理水平，减少卧床相关并发症。

Abstract

Objective To observe the application effect of a nursing model centered on early functional rehabilitation in patients with acute cerebral infarction undergoing arterial intervention thrombectomy.
Methods 86 patients with cerebral infarction who underwent arterial intervention thrombectomy and were admitted to our hospital from January 2023 to December 2025 were selected. They were divided into the observation group and the control group by random number table method, with 43 cases in each group. The control group received routine perioperative nursing in the neurology department, while the observation group received a nursing model centered on early functional rehabilitation in addition to the routine care. The nursing effects of the two groups were compared.
Results At 14 days and 30 days after surgery, the NIHSS score, FMA score, and BI score of the observation group were significantly higher than those of the control group (P < 0.05). The total complication rate of the observation group was significantly lower than that of the control group (P < 0.05).
Conclusion   The nursing model centered on early functional rehabilitation applied to patients after cerebral infarction arterial intervention thrombectomy can effectively promote neural function repair, improve limb movement ability and daily life self-care level, and reduce bed-related complications.