摘要
目的:分析急性脑卒中患者静脉溶栓治疗期间开展早期床边康复措施配合行走功能器械锻炼的效果。方法:抽取郑州大学第五附属医院2020年7月至2022年9月接诊的急性脑卒中患者93例为研究对象,依据分段随机分组法分为对照组(47例)和观察组(46例)。经急诊入院后,两组患者均接受阿替普酶溶栓治疗。治疗期间对照组配合早期床边康复措施,观察组配合早期床边康复措施联合行走功能器械锻炼。评价并比较两组患者临床治疗后步行参数指标、肢体平衡协调评分、功能性步行分级、神经功能损伤评分、自护能力评分。结果:治疗后观察组最大步行速度、步长、步频大于对照组,平衡性协调测试及非平衡性协调测试评分高于对照组(P<0.05)。治疗后,观察组功能性步行量表分级3~5级患者占比高于对照组(P<0.05)。干预后,观察组美国国立卫生研究院卒中量表评分高于对照组,改良Barthel指数评分低于对照组(P<0.05)。结论:急性脑卒中患者静脉溶栓治疗期间开展早期床边康复措施+行走功能器械锻炼进行临床干预,可有效改善患者病后偏瘫所致下肢运动功能障碍程度,提升治疗后神经功能损伤、生活能力康复效果,干预效果确切。
Objective To analyze the effects of early bedside rehabilitation nursing combined with walking functional equipment exercise on patients with acute stroke during intravenous thrombolysis.Methods Ninety-three patients with acute stroke treated in the Fifth Affiliated Hospital of Zhengzhou University from July 2020 to September 2022 were selected as the research subjects,and they were divided into control group(47 cases)and observation group(46 cases)according to segmented random grouping method.After emergency admission,both groups received alteplase thrombolytic therapy.The control group were given early bedside rehabilitation nursing during treatment,and the observation group were given early bedside rehabilitation nursing combined with walking functional equipment exercise.The postoperative walking parameters,limb balance coordination score,functional walking grading,neurological impairment score,self-care ability score of the two groups were evaluated and compared.Results After treatment,the maximum walking speed,stride length and cadence of the observation group were bigger,while the scores of balance coordination test and non-balance coordination test in the observation group were higher,compared with the control group(P<0.05).The proportion of patients with functional ambulation category scale grade 3-5 in the observation group was higher than that in the control group after treatment(P<0.05).The American National Institutes of Health Stroke Scale score of the observation group was higher than that of the control group,and modified Barthel index score of the observation groupwas lower than that of the control group after intervention(P<0.05).Conclusions Performingg early bedside rehabilitation nursing combined with walking functional equipment exercise during intravenous thrombolysis on patients with acute stroke can effectively improve the degree of lower limb motor dysfunction caused by hemiplegia after illness,and improve the rehabilitation effect on neurological function injury and life ability,and the
作者
王静
Wang Jing(Department of Neurology,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国实用医刊》
2023年第9期79-82,共4页
Chinese Journal of Practical Medicine
关键词
脑卒中
康复治疗
早期床边康复
行走功能器械锻炼
Stroke
Rehabilitation
Early bedside rehabilitation nursing
Walking functional equipment exercise
