缺血性脑卒中早期综合康复护理的效果分析  

Effect analysis of early comprehensive rehabilitation nursing in ischemic stroke

作　　者：李海霞 陈晓珊[1] 马志芬[1] 李佩芬[1] 

机构地区：[1]广东省人民医院神经内科,广东广州510000

出　　处：《中国当代医药》2018年第4期195-196,F0003,共3页China Modern Medicine

摘　　要：目的观察和分析缺血性脑卒中患者早期综合康复护理的临床效果。方法选取2015年9月~2016年10月我院收治的100例缺血性脑卒中急性期患者,按照入院顺序随机分成对照组和观察组,每组各50例。对照组患者采用一般临床治疗联合常规康复护理;观察组患者在对照组的基础上采用联合康复护理,包括中频治疗、空气波压力治疗、电子生物反馈治疗。观察两组患者护理前后的运动能力恢复情况(FMA)以及日常生活能力(ADL)恢复情况,评价患者的护理效果。结果观察组患者治疗前FMA评分[(22.1±18.1)分]、ADL评分[(38.1±8.5)分]与对照组[(21.7±18.9)分、(37.7±8.4)分]比较,差异无统计学意义(P>0.05);给予针对性康复护理后,观察者FMA评分[(74.6±24.4)分]、ADL评分[(74.6±10.4)分]与对照组FMA评分[(64.7±21.5)分]、ADL评分[(66.6±6.4)分]比较,差异均有统计学意义(P<0.05)。结论对缺血性脑卒中患者早期采用综合康复护理具有良好的临床效果,患者的运动能力以及生活自理能力均得到有效改善,临床应用价值较高。Objective To observe and analyze the clinical efficacy of early comprehensive rehabilitation nursing for patients with ischemie stroke.Methods From September 2015 to October 2016,100 patients with ischemic stroke in acute stage were selected,they were randomly divided into two groups according to the order of admission,50 cases in each group.The control group was treated with general clinical therapy combined with conventional rehabilitation nursing;the observation group in the control group on the basis of was used the joint rehabilitation nursing,including Medium fre- quency electrotherapy,the air pressure wave therapy,electronic biofeedback treatment.The recovery of exercise ability （FMA） and the recovery of daily living ability （ADL） were observed in the two groups before and after the nursing care, and the nursing effect was evaluated.Results FMA score of the observation group was （22.1±8.1） points,ADL score was （38.1±8.5） points before treatment and the control group were （21.7±18.9）,（37.7±8.4） points,the differences were not statistically significant（P〉0.05）,after rehabilitation nursing,FMA score of the observation group was （74.6±24.4） points,ADL score was （74.6±10.4） points and FMA score of the control group was （64.7±21.5） points,ADL score was （66.6±6.4） points, the differences were statistically significant （P〈0.05）.Conclusion The comprehensive rehabilitation nursing for the pa- tients with ischemic stroke has good clinical efficacy,the exercise ability and self-care ability of the patients have been improved effectively,and the clinical application value is higher.

关 键 词：缺血性脑卒中 早期综合康复 效果观察 

分 类 号：R473.74[医药卫生—护理学]