摘要
目的探讨超早期康复护理措施对脑卒中患者偏瘫肢体功能的改善作用。方法择取2017年1月-2018年1月本院收治的脑卒中住院患者98例,将其分为两组各49例,其中对照组于发病2 w后实施康复护理,研究组于患者生命体征稳定后的24 h内实施超早期康复护理措施。比较两组干预前后简单运动功能评价量表(FMA)与日常生活活动能力评估量表(BI)的变化以及后遗症的发生情况。结果干预后两组FMA与BI评分高于干预前,差异有统计学意义(P<0.05),其中研究组FMA与BI评分高于对照组,差异有统计学意义(P<0.05)。研究组足外翻畸形与肩手综合征的发生率6.12%、6.12%均低于对照组22.45%、24.49%,差异有统计学意义(P<0.05)。结论超早期康复护理措施能够有效改善脑卒中患者的偏瘫肢体功能,降低后遗症概率,保障日常生活能力。
Objective To explore the effect of ultra-early rehabilitation nursing measures on the hemiplegia limb function of patients with stroke.Methods Ninety-eight inpatients with stroke admitted to the hospital from January 2017 to January 2018 were selected and divided into two groups,with 49 patients in each group.The control group was treated with rehabilitation care after 2 weeks of onset.Ultra-early rehabilitation nursing measures were implemented within 24 hours after the signs were stabilized in the study group.The changes of the simple motor function evaluation scale(FMA)and the activity of daily living ability assessment scale(BI)before and after the intervention were compared,and the occurrence of sequelae was compared.Results The FMA and BI scores of the two groups were higher than those before the intervention,the diference was statistically significant(P<0.05).The FMA and BI scores of the study group were higher than those of the control group,the difference was statistically signifcant(P<0.05).The incidence of foot valgus deformity and shoulder-hand syndrome in the study group was 6.12%and 6.12%,which were lower than those in the control group(22.45%,24.49%),the diference was statistically signifcant(P<0.05).Conclusion Ultra-early rehabilitation nursing measures can effectively improve the hemiplegia limb function of stroke patients,reduce the probability of sequelae,and guarantee the ability of daily life.
作者
黄朝霞
高建英
HUANG Zhaoxia;GAO Jianying(Department of Infectious Diseases Management,Heze Municipal Hospital Branch,Heze Shandong 274000,China;Department of Internal Medicine,Heze Municipal Hospital,Heze,Shandong Province,274000)
出处
《中国继续医学教育》
2019年第22期142-145,共4页
China Continuing Medical Education
关键词
超早期
康复护理
脑卒中
偏瘫
肢体功能
神经功能
ultra-early
rehabilitation nursing
stroke
hemiplegia
limb function
nerve function
作者简介
通信作者:高建英
