摘要
目的：探讨早期康复护理对急性脑卒中偏瘫患者的影响。方法：首次发病的急性脑卒中患者160例随机分为康复组和对照组。康复组在常规治疗与护理的同时,进行系统化的早期康复护理,对照组给予常规治疗与护理及未经指导的自我锻炼,分别于24h内及护理6~7周后各评测一次。运动功能评定采用Fugl-Meyer评分,日常生活能力评定采用Barthel指数,并将康复组和对照组的并发症进行了比较。结果：入院时康复组与对照组Fugl-Meyer和Barthel指数均无统计学差异（P〉0.05）,经康复护理后,康复组比对照组的运动功能（P〈0.05）和生活自理能力（P〈0.01）的改善程度均有明显提高。康复组的并发症也明显少于对照组（P〈0.01）。结论：对急性脑卒中偏瘫患者的早期康复护理可明显改善患者的肢体运动功能,提高患者生活自理能力,并可减少并发症的发生。
Objective:To study the effect of early stage rehabilitation care on cerebral apoplexy patients with hemiparalysis.Methods:160case of primary cerebral apoplexy were randomly divided into rehabilitation nursing group and control group.The patients in the rehabilitation group were given clinical treatment and regular rehabilitation training in the early stage,while those in control group were given clinical treatment and unguided self-training.The evaluation was done in pre-treatment and post-treatment(6～7weeks) respectively.The motion and self-care-taking viability of patients were evaluated by Fugl-Meyer Assessment and Barthel Index.The incidence rate of complication were compared in two groups.Results: The patients in the rehabilitation group got much better scores in Fugl-Meyer Assessment and Barthel Index than in the control group and the incidence rate of complication in the rehabilitation group was lower than in the control group.The difference was statistically significant(P<0.01).Conclusion:The early rehabilitation care after stroke is effective.It can improve the movement of extremities and self-care-taking viability and reduce the occurrence of complications.
出处
《长江大学学报（自然科学版）》
CAS
2011年第6期173-175,13,共3页
Journal of Yangtze University(Natural Science Edition)
关键词
早期康复护理
脑卒中
偏瘫
Early stage rehabilitation
Cerebral
Hemiparalysis
