持续性植物状态患者肌痉挛康复护理的方法  

Research on the rehabilitation nursing on muscle spasm of patients in persistent vegetative state

作　　者：车媛[1] 蒋金鹏[1] 曹樱花[2] 

机构地区：[1]北京军区总医院康复医学科,北京100700 [2]北京军区总医院脑科医院ICU,北京100700

出　　处：《中国医学装备》2013年第10期36-38,共3页China Medical Equipment

摘　　要：目的:探讨康复护理对持续性植物状态(PVS)患者肌肉痉挛的效果。方法:对98例PVS患者采取治疗与康复护理相结合的方法,采用正确的体位摆放、被动运动、针刺疗法及按摩等康复护理方式,采用国际通用修订的MAS分级法对患者痉挛情况进行评定。结果:经相关治疗和康复护理后,患者上、下肢的肌张力明显改善(x2=17.04,x2=14.04;P<0.01)。结论:良肢位的摆放及肢体运动康复护理训练不需要特殊设备和技术,只需康复护理人员掌握训练方法和技巧,则可有效地减少和控制肌肉痉挛的发生,减少PVS患者痛苦。Objective： To explore the effect of rehabilitation nursing on muscle spasm of patients in persistent vegetative state （PVS）. Methods： To adopt the rehabilitation nursing methods on 98 PVS patients, including the arrangement of comfortable body position, passive motion, massage, etc.and then to evaluate the patients＇ spasm situation with the universally emendatory MAS （motor assessment scale） methods. Results： Under the rehabilitation nursing and correlative curing, the patients＇ limbs muscular tension had been improved evidently（x2= 17.04, x2=14.04, P〈0.01）. Conclusion： Good limb position and physical movement rehabilitation nursing training do not need special equipments or techniques. If only the nursing personnel could master the training methods and slkill＇s, they could help＇the Pvs patients to control and to decreasethemuscie-spasm and then to help them ease the pain.

关 键 词：康复护理 持续性植物状态 痉挛 肌张力 

分 类 号：R49[医药卫生—康复医学]