Study on the effect of ultra-early rehabilitation nursing on the prognosis of hypertensive intracerebral hemorrhage patients
超早期康复护理对高血压脑出血患者预后的影响研究

摘要

目的 探讨超早期康复护理在高血压脑出血患者中的应用及对预后的影响。方法 将空军军医大学第二附属医院2025年1月-2025年12月内收治的100例高血压脑出血患者以入院就诊顺序划分50例为对照组（常规康复），50例为观察组（超早期康复），对比不同护理模式，患者的神经功能恢复指标以及并发症率。结果 康复后，观察组改良Rankin量表（Modified Rankin Scale, MRS）神经恢复、美国国立卫生研究院卒中量表（National institute of health stroke scale, NIHSS）神经受损优于对照，提示观察组神经功能恢复更佳，同时观察组并发率明显低于对照组，提示观察组预后障碍更低，差异对比有统计学意义（P<0.05）。结论 超早期康复护理对高血压脑出血患者有显著优势，体现在能提高神经功能的恢复以及可降低各类并发症和预后障碍等方面，能让患者多方面受益。

Abstract

Objective To explore the application of ultra-early rehabilitation nursing in patients with hypertensive intracerebral hemorrhage and its impact on prognosis.
Methods 100 patients with hypertensive intracerebral hemorrhage admitted to the Second Affiliated Hospital of Air Force Military Medical University from January 2025 to December 2025 were divided into a control group (conventional rehabilitation) and an observation group (ultra-early rehabilitation) based on the order of admission. The recovery indicators of neurological function and the rate of complications were compared between the two groups.
Results After rehabilitation, the Modified Rankin Scale (MRS) neurological recovery and National Institutes of Health Stroke Scale (NIHSS) neurological impairment in the observation group were better than those in the control group, indicating that the neurological function recovery in the observation group was better. At the same time, the complication rate in the observation group was significantly lower than that in the control group, suggesting that the prognosis obstacles in the observation group were lower. The differences were statistically significant (P < 0.05).
Conclusion   Ultra-early rehabilitation nursing has significant advantages for patients with hypertensive intracerebral hemorrhage, as it can improve neurological function recovery and reduce various complications and prognosis obstacles, benefiting patients in multiple aspects.