早期肢体康复配合心理干预对急性脑卒中患者的效果观察  

Combining mental intervention with early limbs rehabilitation training in treatment of cerebral stroke

作　　者：叶素惠[1] 李玉梅[1] 李燕[1] 刘琼[1] 刘淑君[1] 

机构地区：[1]深圳市龙岗中心医院保健科,518116

出　　处：《中国实用医药》2012年第13期36-37,共2页China Practical Medicine

摘　　要：目的观察早期肢体康复配合心理干预对急性脑卒中患者的治疗效果。方法 74例脑卒中患者随机分为对照组和观察组,在常规治疗和护理,观察组进行康复训练和心理干预。结果早期肢体康复训练前观察组的FMA积分、Barthel指数积分与对照组相比差异无统计学意义(P>0.05);但在治疗1个月后观察组的FMA积分增加了124.6%、Barthel指数积分增加了192.0%,与对照组相比,差异有统计学意义(P<0.01)。观察组在1个月后的SAS评分值降低了43.2%,而对照组仅降低14.2%;1个月后观察组的SDS评分值降低27.4%,对照组降低10.7%,两组SAS评分值和SDS评分值在统计学上差异有统计学意义(P<0.01)。结论早期肢体康复配合心理干预可提高急性脑卒中患者的治疗效果和改善情绪反应。Objective To explore the effects of combining mental intervention with early limbs rehabil- itation training in treatment of cerebral stroke. Methods 74 patients with cerebral stroke were randomly divid- ed into study group and control group. Control group were given conventional therapy and nursing, the study group then given additional mental intervention with early limbs rehabilitation training. Results Before early physical rehabilitation, there were no significant difference in FMA points, Barthel index points compared with the control group （ P 〉 0.05 ） ; but in the study group after treatment for 1 month, the points of EMA increased 124. 6% , Barthel index points increased 192. 0%. Compared with the control group, there were significant difference （ P 〈 0. 01 ） between two groups. The SAS score of the study group with treatment for 1 month was re- duced 43. 2%, while the control group, only 14. 2% lower. The SDS score of study group reduced 27.4%, while which in the control group decreased 10. 7%. There were statistically significant differences in SDS score and SAS score between two groups （ P 〈 0.01 ）. Condusion The treatment mental intervention with early limbs rehabilitation training can improve effects and the emotion of patients with cerebral stroke.

关 键 词：早期 肢体康复 心理干预 急性脑卒中 效果 

分 类 号：R473.74[医药卫生—护理学]