《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (09): 819-820.

• 康复护理 • 上一篇    下一篇

早期康复护理对急性期脑卒中偏瘫患者继发障碍的影响

史艳; 解庆凡   

  1. 邢台市人民医院康复科,河北邢台市 054031
  • 收稿日期:2005-11-24 出版日期:2006-09-01 发布日期:2006-09-01

Effect of Early Rehabilitation Nursing on Secondary Disturbance in Hemiplegics after Stroke

SHI Yan, XIE Qing-fan   

  1. Department of Rehabilitation ,The People's Hospital of Xingtai, Xingtai 054031, Hebei, China
  • Received:2005-11-24 Published:2006-09-01 Online:2006-09-01

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摘要： 目的探讨早期综合康复护理对急性期脑卒中偏瘫患者继发障碍的影响。方法选择急性脑卒中偏瘫患者140例,随机分为康复护理组和对照组,每组70例。综合康复护理组在给予药物治疗的同时,还进行正规的康复护理;对照组仅给予药物治疗和常规护理。分别于入选治疗前24h和治疗后12周进行测评。结果康复护理组继发性功能障碍的发生率明显低于对照组(P<0.01),两组在Barthel指数和脑卒中临床神经功能评分上均有一定程度的改善,综合康复护理组的改善幅度明显优于对照组(P<0.01)。结论急性脑卒中偏瘫患者接受早期综合康复护理能预防和减少继发障碍的发生,明显改善肢体运动功能,提高日常生活活动能力。

关键词: 脑卒中, 偏瘫, 早期康复, 运动功能, 日常生活活动能力, 继发障碍

Abstract: ObjectiveTo study the effect of early rehabilitation nursing on secondary disturbance in hemiplegics after stroke.Methods140 patients were randomly divided into two groups , rehabilitation nursing group (70 cases) and control group (70 cases). Patients in the rehabilitation nursing group were given clinical treatment and regularly convalescent nursing, while those in control group were given clinical treatment and unguided self-training. Evaluation was performed in pre-treatment and 12 weeks post-treatment respectively.ResultsSecondary disturbance rate in the rehabilitation nursing group was significant lower than that in the control group (P<0.01). The motor scores and ADL scores measured by Barthel Index in both groups raised after 12 weeks treatment, but the scores in the early rehabilitation nursing group were obviously superior to those in the control group (P<0.01).ConclusionEarly rehabilitation nursing for hemiplegics afte sroke may prevent or lessen the secondary disturbance, as well as obviously improve motor function of the limbs and ADL.

Key words: stroke, hemiplegia, early rehabilitation, motor function, activities of daily life (ADL), secondary disturbance