脑梗死急性期患者床椅上的体位和运动对偏瘫肢体肌张力的影响  

Effect of Position and Motor on the Bed and Chair of Patients with Acute-stage Cerebral Infarction on the Hemiplegic Limbs Tonus Muscle

作　　者：王芳英[1] 杨长成[1] 丁姝月[1] 

机构地区：[1]内蒙古巴彦淖尔市医院神经康复科,内蒙古巴彦淖尔015000

出　　处：《系统医学》2017年第16期33-35,共3页Systems Medicine

摘　　要：目的探讨床椅上的体位和运动对脑梗死急性期患者偏瘫肢体肌张力的影响。方法选择该科2012年1月—2016年12月收治的86例脑梗死急性期患者,随机分成两组,各43例;对照组常规治疗,观察组增加规范的床椅上体位和运动,观察两组治疗前后偏瘫肢体肌张力和神经功能缺损评分变化。结果治疗20 d后,两组比较0~1级观察组患者人数由原来的62.79%增加为88.37%,对照组0~1级患者人数,由原来的67.44%降至53.49%,差异有统计学意义(P<0.05)。治疗后,观察组神经功能缺损评分(16.38±5.24)分显著低于对照组(21.24±4.98)分,组间差异有统计学意义(P<0.05)。结论脑梗死急性期实施正确的床椅上体位和运动,可有效改善偏瘫肢体肌张力。Objective To study the effect of position and motor on the bed and chair of patients with acute-stage cerebral infarction on the hemiplegic limbs？tonus muscle. Methods 86 cases of patients with acute-stage cerebral infarction admitted and treated in our department from January 2012 to December 2016 were selected and randomly divided into two groups with 43 cases in each, the control group adopted the routine treatment, the observation group adopted the standardized position and motor on the bed and chair on the basis of the control group, and the changes of hemiplegic limbs tonus muscle and nerve function defect changes were observed. Results After 20 d treatment, the patients aged 0 ~1 level in the observation group increased from 62.79% to 88.37%, after treatment, the nerve function defect score in the observation group was obviously lower than that in the control group[（16.38±5.24）points vs（21.24±4.98）points],and the difference was obvious（P〈0.05）. Conclusion The accurate position and motor on the chair and bed of acutestage cerebral infarction can effectively improve the hemiplegic limbs？tonus muscle.

关 键 词：急性期 脑梗死 体位运动 偏瘫 肌张力 

分 类 号：R743.33[医药卫生—神经病学与精神病学]