摘要
目的:系统评价早期良肢位摆放对脑卒中偏瘫患者肢体功能康复的影响,为临床护理提供参考依据。方法:检索中外文献数据库CNKI、VIP、Wang Fang、Pub Med、the Science Dicrect、Cochrane Library,收集与本研究有关的随机对照试验,文献质量评价后,用Stata 12. 0软件进行Meta分析。结果:共纳入相关文献13篇,共2 255例患者(对照组1 102例,试验组1 153例)。试验组肢体运动功能评分高于对照组,差异有统计学意义(SMD=0. 95,95%CI:0. 78~1. 11,P<0. 01);日常生活能力评分高于对照组,差异有统计学意义(SMD=0. 73,95%CI:0. 49~0. 97,P<0. 01);肢体功能恢复有效率高于对照组,差异有统计学意义(OR=4. 12,95%CI:2. 41~7. 04,P<0. 01)。结论:实施早期良肢位摆放有助于改善脑卒中偏瘫患者的肢体运动功能,促进肌力恢复,提高日常生活能力。
Objective: To systematically evaluate the effect of early normal limb position on rehabilitation of limb function in stroke patients with hemiplegia,so as to provide reference for clinical nursing. Methods: According to the inclusion and exclusion criteria,the randomized clinical trials related to this study were retrieved from CNKI,Wanfang database,VIP Scientific Journal Database,Pub Med,Science Dicrect and The Cochrane Library from the time that the databases were built to Apr 2018. After the quality evaluation of literatures, the meta-analysis were performed by using Stata 12. 0 software. Results: A total of 13 articles were included,with a total of 2 255 patients( 1102 cases in the control group and 1 153 cases in the experimental group). The results showed that the limb movement function score( SMD = 0. 95,95%CI: 0. 78-1. 11,P<0. 01),the daily living ability score( SMD=0. 73,95%CI: 0. 49-0. 97,P<0. 01),and the effective rate of limb function recovery(OR=4. 12,95% CI: 2. 41-7. 04),P<0. 01) in the experimental group was significantly higher than those in the control group. Conclusion: Early normal limb position can improve limb movement function,muscle strength and daily living ability in stroke patients with hemiplegia.
作者
余艳
YU Yan(Department of Neurology,The First People′s Hospital of Zunyi,Zunyi 563000,China)
出处
《沈阳医学院学报》
2020年第2期123-127,131,共6页
Journal of Shenyang Medical College
关键词
脑卒中
偏瘫
良肢位摆放
肢体功能
stroke
hemiplegia
normal limb position
limb function
作者简介
余艳(1986-),女(汉),主治医师,研究方向:脑血管疾病治疗与基础研究.E mail:2360914365@qq.com。
