“坐-立-行”目标性锻炼改善老年急性脑梗死患者下肢功能障碍的效果观察  

Observation on effect of"sit-stand-walk"targeted exercise on lower limb dysfunction in elderly patients with acute cerebral infarction

作　　者：贾茹 刘庆芬[2] 李丽[3] 徐冬霞 吴超伦 姜丽萍 顾纪芳[7] Jia Ru;Liu Qingfen;Li Li;Xu Dongxia;Wu Chaolun;Jiang Liping;Gu Jifang(School of Nursing,Shanghai Jiaotong University,Shanghai,200025;Nursing Clinic of The Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,201999;Nursing Department of The Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,201999;Neurology Department of The Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,201999;Rehabilitation Department of The Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,201999;Nursing Department of Xinhua Hospital Affiliated to Shanghai Jiaotong University,Shanghai,200092;Emergency Department of The Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,201999,P.R.China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学附属第九人民医院护理门诊,上海201999 [3]上海交通大学附属第九人民医院护理部,上海201999 [4]上海交通大学附属第九人民医院神经内科,上海201999 [5]上海交通大学附属第九人民医院康复科,上海201999 [6]上海交通大学附属新华医院护理部,上海200092 [7]上海交通大学附属第九人民医院急诊科,上海201999

出　　处：《老年医学与保健》2020年第3期367-370,共4页Geriatrics & Health Care

基　　金：国家自然科学基金(71874107)国家自然科学基金面上项目。

摘　　要：目的探讨"坐-立-行"目标性锻炼改善老年脑梗死患者下肢功能障碍的效果。方法选取2019年6月-9月上海交通大学附属第九人民医院神经内科收治的急性脑梗死患者66例,随机分为试验组和对照组,每组33例。对照组采用护士讲解和制定康复计划等常规康复教育方法;试验组在与对照组相同处理基础上,加用"坐-立-行"目标性强化锻炼康复训练教育模式。采取简化Fugl-Meyer运动功能评定量表评定患者的下肢运动功能、Berg平衡量表评估患者的平衡功能和Barthel指数评估患者的日常生活能力。比较2组患者干预前、出院时、出院1个月及2个月时下肢运动功能、平衡功能和日常生活能力改善情况。结果2组出院时、出院1个月、2个月下肢运动功能得分、平衡功能得分、Barthel指数均明显高于同组干预前(P<0.05);且试验组患者均明显高于对照组(P<0.05)。提示试验组患者的下肢运动功能、平衡功能和日常生活能力都明显提高。结论老年急性脑梗死患者早期进行"坐-立-行"三要素基本动作锻炼,能有效的促进下肢运动功能的康复,改善生活自理能力,提升患者生活质量。Objective To explore the effect of"sit-stand-walk"target exercise on lower limb dysfunction in elderly patients with cerebral infarction.Methods 66 patients with acute cerebral infarction were randomly divided into control group and experimental group,33 ones in each group.The control group adopted routine rehabilitation education methods,such as nurse’s explanation and making rehabilitation plan.On the basis of the same treatment as the control group,the experimental group added the"sit-stand-walk"targeted intensive exercise rehabilitation training education program.The simplified Fugl-Meyer Motor Function Rating Scale was used to assess the lower limb motor function of the patients,the Berg Balance Scale was used to assess the balance function of the patients,and the Barthel Index was used to assess the daily living ability of the patients.The lower limb motor function,balance function and ability of daily living before intervention,at discharge,1 month and 2 months after discharge were compared between the two groups.Results The scores of lower limb motor function,balance function and Barthel index of the two groups after the intervention were significantly higher than those in the same group before intervention,and the above indexes of the experimental group were significantly higher than those of the control group(P<0.05).It was suggested that the motor function,balance function and daily living ability of the lower limbs of the experimental group were significantly improved.Conclusion Early exercise of"sitting,standing and walking"in elderly patients with acute cerebral infarction can effectively promote the rehabilitation of lower limb motor function,improve the self-care ability and the quality of life of patients.

关 键 词：老年 急性脑梗死 下肢功能障碍 "坐-立-行"目标锻炼 

分 类 号：R473.74[医药卫生—护理学]