中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
19期
145-146,148
,共3页
体位护理%脑卒中%肩手综合征
體位護理%腦卒中%肩手綜閤徵
체위호리%뇌졸중%견수종합정
Postural care%Stroke%Shoulder-hand syndrome
目的：探讨早期体位护理干预对脑卒中患者偏瘫肢体肩手综合征的预防效果，为临床应用提供参考。方法选取2013年1月-2013年12月，该院200例脑卒中患者，按数学随机方法分为普通组和护理组，各100例。普通组和护理组患者基线资料相近，对比差异无统计学意义（P＞0.05），均衡可比。普通组患者实施常规护理，护理组患者实施早期体位护理，对比两组患者护理1个月后偏瘫肢体肩手综合征发生率。结果护理组7例（7.00%）患者发生肩手综合征，明显低于普通组51.00%，对比差异有统计学意义（χ2=22.932，P=0.000）。护理组手部关节疼痛、肩部关节疼痛、手部肿胀、手部疼痛、肢体关节退化发生率均低于普通组，对比差异有统计学意义（P＜0.05）。结论早期体位护理干预对脑卒中患者偏瘫肢体肩手综合征并发症发生率降低有显著预防作用，有利于患者康复恢复，值得临床推广应用。
目的：探討早期體位護理榦預對腦卒中患者偏癱肢體肩手綜閤徵的預防效果，為臨床應用提供參攷。方法選取2013年1月-2013年12月，該院200例腦卒中患者，按數學隨機方法分為普通組和護理組，各100例。普通組和護理組患者基線資料相近，對比差異無統計學意義（P＞0.05），均衡可比。普通組患者實施常規護理，護理組患者實施早期體位護理，對比兩組患者護理1箇月後偏癱肢體肩手綜閤徵髮生率。結果護理組7例（7.00%）患者髮生肩手綜閤徵，明顯低于普通組51.00%，對比差異有統計學意義（χ2=22.932，P=0.000）。護理組手部關節疼痛、肩部關節疼痛、手部腫脹、手部疼痛、肢體關節退化髮生率均低于普通組，對比差異有統計學意義（P＜0.05）。結論早期體位護理榦預對腦卒中患者偏癱肢體肩手綜閤徵併髮癥髮生率降低有顯著預防作用，有利于患者康複恢複，值得臨床推廣應用。
목적：탐토조기체위호리간예대뇌졸중환자편탄지체견수종합정적예방효과，위림상응용제공삼고。방법선취2013년1월-2013년12월，해원200례뇌졸중환자，안수학수궤방법분위보통조화호리조，각100례。보통조화호리조환자기선자료상근，대비차이무통계학의의（P＞0.05），균형가비。보통조환자실시상규호리，호리조환자실시조기체위호리，대비량조환자호리1개월후편탄지체견수종합정발생솔。결과호리조7례（7.00%）환자발생견수종합정，명현저우보통조51.00%，대비차이유통계학의의（χ2=22.932，P=0.000）。호리조수부관절동통、견부관절동통、수부종창、수부동통、지체관절퇴화발생솔균저우보통조，대비차이유통계학의의（P＜0.05）。결론조기체위호리간예대뇌졸중환자편탄지체견수종합정병발증발생솔강저유현저예방작용，유리우환자강복회복，치득림상추엄응용。
Objective To investigate the effect of early postural care intervention in the prevention of hemiplegic limb shoulder-hand syndrome after stroke so as to provide a reference for the clinical application. Methods 200 cases of stroke patients admitted in our hospital from January, 2013 to December, 2013 were divided into the normal group and the nursing group with 100 cases in each according to the stochastic mathematical method. The baseline data of the two groups were similar and could be compared with no statistically significant difference (P>0.05). Patients in the normal group were given conventional care, and patients in the nursing group were given early postural care. The incidences of hemiplegic limb shoulder-hand syndrome of two groups after the nursing of 1 month were compared. Results 7 cases (7.00%) of shoulder-hand syndrome occurred in the nursing group, significant-ly lower than the normal group's 51.00%, the difference was statistically significant (χ2=22.932, P=0.000).The incidences of hand joint pain, shoulder joint pain, swelling of the hands, hand pain and limb and joint degeneration of the nursing group were lower than those of the normal group, the differences were statistically significant (P<0.05). Conclusion Early postural care intervention has significant effect on preventing the incidence of the complication of hemiplegic limb shoulder-hand syndrome after stroke, which is conducive to the rehabilitation of the patients and worthy of clinical application.
