CAJ | 학술논문

目的：探讨早期康复护理干预对脑梗死偏瘫患者肢体功能恢复的效果。方法选择第三军医大学大坪医院野战外科研究所神经内科2012年1月—2013年12月收治的脑梗死偏瘫患者86例,按入院先后顺序分为常规组41例、康复组45例。常规组予脑血管病常规治疗,康复组在常规治疗基础上进行早期系统化康复护理干预。治疗前及治疗后6周采用修订的Barthel指数法进行日常生活活动能力评定,采用神经功能缺损程度评分( NDS)评定神经功能。结果两组Barthel指数、NDS治疗前差异无统计学意义(P>0.05),治疗后6周康复组Barthel指数明显高于常规组,NDS明显低于常规组,差异均有统计学意义(P<0．01,P<0．05)。结论对脑梗死偏瘫患者治疗过程中要把握康复训练时机,加强心理干预,采取正确的训练方法,以促进患者的康复,降低病后致残率,提高患者的生活质量。
목적：탐토조기강복호리간예대뇌경사편탄환자지체공능회복적효과。방법선택제삼군의대학대평의원야전외과연구소신경내과2012년1월—2013년12월수치적뇌경사편탄환자86례,안입원선후순서분위상규조41례、강복조45례。상규조여뇌혈관병상규치료,강복조재상규치료기출상진행조기계통화강복호리간예。치료전급치료후6주채용수정적Barthel지수법진행일상생활활동능력평정,채용신경공능결손정도평분( NDS)평정신경공능。결과량조Barthel지수、NDS치료전차이무통계학의의(P>0.05),치료후6주강복조Barthel지수명현고우상규조,NDS명현저우상규조,차이균유통계학의의(P<0．01,P<0．05)。결론대뇌경사편탄환자치료과정중요파악강복훈련시궤,가강심리간예,채취정학적훈련방법,이촉진환자적강복,강저병후치잔솔,제고환자적생활질량。
Objective To investigate the intervention effect of early rehabilitation nursing on limbs function re-covery of cerebral infarction patients with hemiplegia. Methods A total of 86 cerebral infarction patients with hemiplegia during January 2012 and December 2013 were divided into conventional treatment group ( n =41 ) and rehabilitation group (n=45) according to admission time. Conventional treatment group was given conventional treatment for cerebro-vascular disease, while rehabilitation group received early systemic intervention of rehabilitation nursing based on conven-tional treatment. The activities of daily life were evaluated before and six weeks after treatment by the revision of Barthel index method, and the nerve function was evaluated by nervous functional deficiency ( NDS) score. Results The differ-ences in Barthel index and NDS score before treatment in the two groups were not statistically significant (P>0. 05);in rehabilitation group the Barthel index was significantly higher, while NDS score was significantly lower six weeks after treatment compared with those in conventional treatment group, and the differences were statistically significant ( P <0. 01, P<0. 05). Conclusion In the process of treatment of cerebral infarction patients with hemiplegia, physicians should take opportunities of rehabilitation training, strengthen the psychological intervention, take the right training meth-od in order to promote the recovery of patients, reduce the mutilation rate after illness and improve the patient's quality of life.