综合康复护理干预模式在脑出血偏瘫患者护理中的应用评价  

Application evaluation of comprehensive rehabilitation nursing intervention mode in nursing of hemiplegia patients with cerebral hemorrhage

作　　者：陈艳[1] 李春利[1] 

机构地区：[1]解放军总医院南楼神经内科,北京100853

出　　处：《实用临床医药杂志》2015年第10期8-10,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较综合康复护理(CRN)和常规康复护理(URN)方案对脑出血(ICH)偏瘫患者的临床效果。方法将本院115例ICH偏瘫患者分成CRN组(57例)和URN组(58例),分别采用CRN和URN治疗方案,治疗后按评价标准进行疗效评定,并对数据进行统计学分析。结果治疗后CRN组患者上肢MS超过Ⅲ级37例(94.91%),下肢MS超过Ⅲ级36例(63.16%)。URN组患者上肢和下肢MS达到Ⅲ级及以上各有15例(26.32%)和14例(24.14%),与CRN组比较差异有统计学意义(P<0.05)。结论对115例患者进行治疗对比后发现,CRN方案比URN具有更好的疗效,故临床治疗ICH偏瘫应优先选择CRN方案。Objective To compare clinical effect of comprehensive rehabilitation nursing（CRN） and usual rehabilitation nursing（URN） for hemiplegia patients with cerebral hemorrhage.Methods A total of 115 patients in our hospital were divided into CRN group（57 cases） and URN group（58 cases）.The two groups were respectively treated with CRN and URN therapies.After treatment,the effect was evaluated according to the evaluation standard and the data was statistically analyzed.Results There were 37 cases（94.91%） over Ⅲ grade of muscle strength（MS） in upper limb,36 cases（63.16%） over Ⅲ grade of MS in lower limb in the CRN group.And over Ⅲ grade of MS occurred in 15 cases（26.32%） in upper limb and 14 cases（24.14%） in lower limb in URN group,there was statistically significant difference between CRN and URN groups（P〈 0.05）.Conclusion After treatment effect comparison of 115 patients,the cure rate in CRN group is better than URN group,so CRN should be the priority to treat ICH patients with hemiplegia.

关 键 词：综合康复护理 脑出血 偏瘫 

分 类 号：R473.5[医药卫生—护理学]