中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
19期
131-132
,共2页
康复护理%FMA%急性脑梗死%神经功能缺损%Barthel 指数
康複護理%FMA%急性腦梗死%神經功能缺損%Barthel 指數
강복호리%FMA%급성뇌경사%신경공능결손%Barthel 지수
Rehabilitation nursing%FMA%Acute cerebral infarction%Neurologic impairment%Barthel index
目的：分析急性脑梗死偏瘫早期康复护理的作用。方法入选我院2013‐06—2014‐05急性脑梗死偏瘫患者92例，均进行神经内科药物疗法，根据随机数字法分为康复组与对照组各46例，康复组进行早期偏瘫康复护理，对照组进行饮食、用药、健康教育等常规护理，2组均护理4周，比较临床效果；并对2组护理前后的 FMA 肢体活动功能评分及日常生活能力 Barthel 指数评分进行比较。结果康复组有效率82.6％，显著高于对照组的52.2％，差异有统计学意义（P＜0.05）；2组护理后常生活能力 Barthel 指数评分显著优于对照组，差异有统计学意义（P ＜0.05）。结论对急性脑梗死偏瘫患者进行早期康复护理，可显著改善患者的肢体活动功能，提高患者的日常生活能力，效果确切，值得临床推广。FMA 肢体活动功能评分及日常生活能力 Barthel 指数评分均优于护理前，康复组护理后 FMA 肢体活动功能评分及日常生活能力Barthel 指数评分显著优于对照组，差异有统计学意义（P ＜0.05）。结论对急性脑梗死偏瘫患者进行早期康复护理，可显著改善患者的肢体活动功能，提高患者的日常生活能力，效果确切，值得临床推广。
目的：分析急性腦梗死偏癱早期康複護理的作用。方法入選我院2013‐06—2014‐05急性腦梗死偏癱患者92例，均進行神經內科藥物療法，根據隨機數字法分為康複組與對照組各46例，康複組進行早期偏癱康複護理，對照組進行飲食、用藥、健康教育等常規護理，2組均護理4週，比較臨床效果；併對2組護理前後的 FMA 肢體活動功能評分及日常生活能力 Barthel 指數評分進行比較。結果康複組有效率82.6％，顯著高于對照組的52.2％，差異有統計學意義（P＜0.05）；2組護理後常生活能力 Barthel 指數評分顯著優于對照組，差異有統計學意義（P ＜0.05）。結論對急性腦梗死偏癱患者進行早期康複護理，可顯著改善患者的肢體活動功能，提高患者的日常生活能力，效果確切，值得臨床推廣。FMA 肢體活動功能評分及日常生活能力 Barthel 指數評分均優于護理前，康複組護理後 FMA 肢體活動功能評分及日常生活能力Barthel 指數評分顯著優于對照組，差異有統計學意義（P ＜0.05）。結論對急性腦梗死偏癱患者進行早期康複護理，可顯著改善患者的肢體活動功能，提高患者的日常生活能力，效果確切，值得臨床推廣。
목적：분석급성뇌경사편탄조기강복호리적작용。방법입선아원2013‐06—2014‐05급성뇌경사편탄환자92례，균진행신경내과약물요법，근거수궤수자법분위강복조여대조조각46례，강복조진행조기편탄강복호리，대조조진행음식、용약、건강교육등상규호리，2조균호리4주，비교림상효과；병대2조호리전후적 FMA 지체활동공능평분급일상생활능력 Barthel 지수평분진행비교。결과강복조유효솔82.6％，현저고우대조조적52.2％，차이유통계학의의（P＜0.05）；2조호리후상생활능력 Barthel 지수평분현저우우대조조，차이유통계학의의（P ＜0.05）。결론대급성뇌경사편탄환자진행조기강복호리，가현저개선환자적지체활동공능，제고환자적일상생활능력，효과학절，치득림상추엄。FMA 지체활동공능평분급일상생활능력 Barthel 지수평분균우우호리전，강복조호리후 FMA 지체활동공능평분급일상생활능력Barthel 지수평분현저우우대조조，차이유통계학의의（P ＜0.05）。결론대급성뇌경사편탄환자진행조기강복호리，가현저개선환자적지체활동공능，제고환자적일상생활능력，효과학절，치득림상추엄。
Objective To explore the effect of early rehabilitation nursing on acute cerebral infarction hemiplegia.Methods 92 patients with acute cerebral infarction hemiplegia in our hospital from June 2013 to May 2014 were selected ,and all pa‐tients were cured by neurology pharmacotherapy. The patients were randomly divided into the rehabilitation group and the con‐trol group ,with 46 patients in each group. The rehabilitation group received early hemiplegia rehabilitation nursing ,while the control group received usual nursing care of diet ,medicine and health education. The nursing of both groups lasted 4 weeks , and the clinical effects on the two groups were compared. FMA limb movement function scores and living ability Barthel index scores of both groups before and after nursing were compared.Results The clinical effective rate of the rehabilitation group was 82.6% ,and was significantly higher than 52.2% of the control group ,and the difference was statistically significant ( P <0.05). FMA limb movement function scores and living ability Barthel index scores of both groups after nursing were better than those before nursing. FMA limb movement function score and living ability Barthel index score of the rehabilitation group were better than those of the control group after nursing ,and the difference was statistically significant(P< 0.05).Conclusion The early rehabilitation nursing on patients with acute cerebral infarction hemiplegia can significantly improve the patients’ limb movement function and living ability. It is effective and worth clinical promotion.
