超早期康复护理干预对老年缺血性脑卒中患者临床疗效的影响  

Effect of super-early rehabilitation nursing intervention on clinical efficacy for elderly patients with ischemic stroke

作　　者：覃丽容[1] 周建仪[1] 曾奕云[1] 李旷怡[1] 何明丰[1] 王学文[2] 

机构地区：[1]广东省佛山市中医院急诊科,广东佛山528000 [2]广东省佛山市中医院神经内科,广东佛山528000

出　　处：《中国医药科学》2015年第22期78-80,共3页China Medicine And Pharmacy

基　　金：广东省佛山市科技创新专项资金项目(2014AG10002)

摘　　要：目的探讨超早期康复护理干预在老年缺血性脑卒中的应用效果。方法选择2013年1月~2014年6月期间我院所收治的老年缺血性脑卒中患者90例,随机分为干预组和对照组。对照组老年缺血性脑卒中患者采用一般常规护理,而干预组患者则在对照组基础上加用超早期康复护理干预方案,并分别对两组患者的临床治疗情况进行比较和分析。结果干预组患者神经功能康复的显著进步率和总有效率分别为46.67%和91.11%,均明显高于对照组患者的26.67%和68.89%,两组比较差异具有统计学意义（P〈0.05）;干预组患者干预后的FMA和BI评分值分别为（53.69±4.25）分和（73.52±6.63）分,均明显高于对照组患者的（40.72±3.60）分和（61.65±5.08）分,两组比较差异具有统计学意义（P〈0.05）。结论超早期康复护理干预能够有效恢复老年缺血性脑卒中患者的神经功能,并促进其日常生活能力的改善和提升。Objective To probe into clinical application effect of super-early rehabilitation nursing intervention on clinical efficacy for elderly patients with ischemic stroke. Methods From January 2013 to June 2014,90 elderly patients with ischemic stroke were selected in our hospital.The patients were divided into intervention group and control group randomly.The elderly patients with ischemic stroke in control group were treated with general routine nursing.The patients in intervention group were treated with super-early rehabilitation nursing as intervention program.The clinical treatment situation of the patients in two groups were compared and analyzed. Results The ratio of progressive significantly and total effective for neurologic recovery of the patients in intervention group was 46.67% and 91.11%.The ratio of progressive significantly and total effective for neurologic recovery of the patients in control group was 26.67% and 68.89%.There were increased significantly,after statistical analysis,the differences were significant statistically（P〈0.05）.After intervention,the FMA scores and BI scores of the patients in intervention group were（53.69±4.25） points and（73.52±6.63） points.The FMA scores and BI scores of the patients in control group were（40.72±3.60） points and（61.65±5.08） points.There were increased significantly,after statistical analysis,the differences were significant statistically（＋ 〈0.05）. Conclusion Super-early rehabilitation nursing interventions could restore neurologic function effectively and promote activities of daily living to improve and upgrade for elderly patients with ischemic stroke.

关 键 词：老年 缺血性脑卒中 超早期 康复护理 

分 类 号：R473.74[医药卫生—护理学]