应用自制枕摆放良肢位对脑卒中后偏瘫患者康复效果的影响  

Effect of serf-made pillow for good limb position on the recovery of patients with hemiplegia after stroke

作　　者：彭汉玲[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院康复医学科,武汉430022

出　　处：《中华现代护理杂志》2014年第8期875-876,共2页Chinese Journal of Modern Nursing

摘　　要：目的观察应用自制枕摆放良肢位对脑卒中后偏瘫患者康复效果的影响。方法选择脑卒中后偏瘫患者74例，采用随机数字表法分为观察组38例和对照组36例。两组均采用康复医学科常规治疗及护理，在生命体征平稳48h后分别采用自制型（观察组）与普通型枕头（对照组）摆放良肢位，治疗1月后采用简式Vusl-Meyer运动功能评分法及Barthel指数评价两组患者运动功能和日常生活能力。结果治疗1个月后观察组患者rugl-Meyer运动功能评分为（80．21±6．06）分，日常生活能力Barthel指数评分为（63．03±8．10）分，均高于对照组的（75．08±7．84），（56．25±10．38）分，两组比较差异有统计学意义（t值分别为3．135，3．141；P〈0．01）。结论自制型良肢位枕对脑卒中后偏瘫患者运动功能和日常生活能力的恢复有较好的作用，建议临床应用。Objective To study the effect of self-made pillow for good limb position on the recovery of patients with hemiplegia after stroke. Methods Seventy-four patients with hemiplegia after stroke （duration ≤ 3 months） were randomly divided into the observation （38 cases） and the control group （36 cases）. Both groups were given conventional rehabilitation therapy and nursing, but the observation group used self-made pillow 48 hours of stable vital signs while the control group used normal pillows. Fugl-Meyer asassessment（FMA） and Barthel index were used to evaluate patients＇ motor function and ability of daily living one month after treatment. Results After one month, the FMA score and Barthel Index （BI） score was respectively （ 80. 21 ± 6. 06 ） and （63.03 ±8. 10） in the observation group, higher than （75.08 ±7. 84）and（56. 25 ± 10. 38） in the control group, and the differences were statistically significant （ t = 3. 135,3. 141, respectively; P 〈 0. 01 ）. Condusions Self- made type pillow plays an important role in the recovery of motor function and ability of daily living for patients with hemiplegia after stroke.

关 键 词：卒中 偏瘫 康复 自制型枕头 良肢位 

分 类 号：R473.74[医药卫生—护理学]