康复护理与自我锻炼用于早期脑卒中偏瘫的效果对比  

The Effect of Rehabilitation Care and Self-training for Hemiplegic Stroke Contrast

作　　者：李明秀[1] 

机构地区：[1]商丘市第一人民医院康复科,河南商丘476000

出　　处：《中国医药指南》2014年第34期14-15,共2页Guide of China Medicine

摘　　要：目的对比分析康复护理与自我锻炼用于早期脑卒中偏瘫的疗效。方法根据治疗方式将2011年4月至2013年9月我院收治的140例早期脑卒中偏瘫患者分为观察组与对照组,两组均含患者70例,观察组患者在神经内科治疗的基础上接受康复护理,对照组患者接受神经内科治疗以及未经指导的自我锻炼。在护理干预前、护理干预2个月后采用Fugl-Meyer运动功能评定量表、日常生活能力评定量表(ADL)对患者进行评分,以判定疗效。结果护理干预前,两组患者Fugl-Meyer运动功能评分、ADL评分相比差异无统计学意义(P>0.05)。护理干预2个月后,观察组患者与对照组患者的Fugl-Meyer运动功能评分、ADL评分均显著升高,护理干预前后相比差异有统计学意义(P<0.05),但是观察组Fugl-Meyer运动功能评分、ADL评分显著高于对照组,两组患者之间相比差异有统计学意义(P<0.05)。结论康复护理干预可显著改善早期脑卒中偏瘫患者的运动功能,提高其生存质量,值得临床推广应用。Objective To compare and analyze curative effect of rehabilitation nursing and self-exercise in early stroke patients. Methods 140 cases with early stroke in otlr hospital from April 2011 to September 2013 were selected. Patients were divided into observation group and control group according to therapy methods, 70 cases in each group. Observation group received the treatment of rehabilitation nursing on the basis of neurology department therapy. Control group received the treatment of neurology department and self-exercise without guidance. Fugl-Meyer and ADL were used before and 2 months of rehabilitation nursing intervention. Curative effect was evaluated. Results Before rehabilitation nursing intervention, the differences of Fugl-Meyer and ADL in two group were no statistically significantly（P〉0.05）. After 2 months of rehabilitation nursing intervention, Fugl-Meyer and ADL in two groups were obviously increased. Compared before and after rehabilitation nursing intervention, difference was statistically significant（P〈0.05）. But Fugl-Meyer and ADL in observation group were obviously higher than control group. The difference was statistically significant（P〈0.05）, ConcLusion Rehabilitation nursing intervention obviously improves motor function and living quality. It is worth popularizing application in clinic.

关 键 词：康复护理 自我锻炼 脑卒中偏瘫 

分 类 号：R473.74[医药卫生—护理学] R743.33[医药卫生—临床医学]