早期康复护理干预对脑卒中患者肩手综合征的效果  

Effect of early rehabilitation nursing intervention on shoulder hand syndrome in stroke patients

作　　者：路金丽[1] LU Jinli(Department of Neurology,General Hospital of Wanbei Coal and Electricity Group,Suzhou,Anhui,234000)

机构地区：[1]皖北煤电集团总医院神经内科,安徽宿州234000

出　　处：《实用临床医药杂志》2018年第2期12-14,18,共4页Journal of Clinical Medicine in Practice

基　　金：蚌埠医学院科研课题(BYKY16171)

摘　　要：目的探讨早期康复护理对脑卒中患者肩手综合征的预防效果。方法将2016年1—8月收治的脑卒中患者60例设为对照组,给予常规护理。将2016年9月—2017年5月收治的脑卒中患者60例设为观察组,在对照组的基础上给予早期康复护理干预。比较2组肩手综合征的发生情况以及上肢功能等。结果观察组干预3个月后的肩手综合征发生率低于对照组,严重程度轻于对照组,肩关节活动度大于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组干预3个月后的肌张力Ashworth评分低于对照组,上肢简化FMA评分高于对照组,差异有统计学意义(P<0.05)。结论早期康复护理干预能够预防脑卒中肩手综合征的发生,改善上肢功能,值得推广。Objective To explore effect of early rehabilitation nursing in prevention of persistent stroke syndrome patients.Methods A total of 60 patients with stroke from January to August 2016 were treated as control group,given routine nursing.Another 60 patients with stroke from September 2016 to May 2017 were treated as observation group,given early rehabilitation nursing intervention on the basis of the control group.The occurrence of shoulder hand syndrome and the function of upper limb were compared between the two groups.Results Shoulder hand syndrome incidence rate in the observation group after 3 months of the intervention was lower,the severity was lighter,the activity degree of shoulder joint was greater,pain score was lower than that in the control group,and the differences were statistically significant(P<0.05).The Ashworth score of muscle tone in the observation group after 3 months of the intervention was lower than that in the control group,and the simplified FMA score of the upper limb was higher than that in the control group,and the difference was statistically significant(P<0.05).ConclusionEarly rehabilitation nursing intervention can prevent the occurrence of stroke hand shoulder syndrome and improve the function of upper limb,so it is worth popularizing.

关 键 词：康复护理 脑卒中 肩手综合征 向心缠绕法 功能性电刺激 

分 类 号：R473.6[医药卫生—护理学]