早期康复护理对急性脑卒中偏瘫患者康复的应用效果观察及对生活质量影响  

Effects of early rehabilitation nursing on hemiplegia patients with acute stroke and its influence on quality of life

作　　者：陈琴芬[1] 陈敏华[1] 陈晓红[2] 金丽红[1] CHEN Qinfen;CHEN Minhua;CHEN Xiaohong;JIN Lihong(Department of Nursing,Lishui People's Hospital in Zhejiang Province,Lishui 323000,China;Department of Neurology,Lishui People's Hospital in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市人民医院护理部,浙江丽水323000 [2]浙江省丽水市人民医院神经内科,浙江丽水323000

出　　处：《中国现代医生》2020年第20期174-177,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2019ZH013)。

摘　　要：目的探究急性脑卒中偏瘫患者接受早期康复护理的效果,分析对其生活质量的影响。方法选取2018年1月~2019年1月于我院就诊的急性脑卒中偏瘫患者100例,按照随机数字表法则分为两组,每组50例,对照组给予常规护理,实验组给予早期康复护理,对比两组的护理效果以及患者的BI指数、Fugl-Meyer评分、SF-36评分、炎症因子变化以及并发症发生情况。结果实验组急性脑卒中偏瘫患者总有效率(90.00%)高于对照组(62.00%),差异有统计学意义(P<0.05);两组干预前BI指数、Fugl-Meyer评分、SF-36评分差异无统计学意义(P>0.05),两组干预后的BI指数、Fugl-Meyer评分、SF-36评分,均较干预前升高,其中实验组干预后的BI指数、Fugl-Meyer评分、SF-36评分高于对照组(P<0.05);实验组并发症发生率为12.00%低于对照组的30.00%,差异有统计学意义(P<0.05);两组干预前IL-1β、IL-6、IL-8、TNF-α等炎性因子水平差异无统计学意义(P>0.05),与干预前相比较,实验组和対照组患者血清中的IL-1β、IL-6、IL-8、TNF-α等炎性因子水平均降低(P<0.05),且实验组炎性因子水平较対照组降低明显(P<0.05)。结论早期康复护理对急性脑卒中偏瘫患者康复效果显著,能明显降低炎症因子水平,提高生活质量。Objective To explore the effect of early rehabilitation nursing on hemiplegia patients with acute stroke and analyze the impact on their quality of life.Methods 100 patients with acute stroke and hemiplegia treated in our hospital from January 2018 to January 2019 were selected and divided into two groups using the random number table method,with 50 cases in each group.The control group was given routine nursing,while the study group was given early rehabilitation nursing.The nursing effect,Barthel index(BI),Fugl-Meyer score,SF-36 score,inflammatory factors and complications of the two groups was compared.Results The total effective rate of the study group(90.00%)was higher than the control group(62.00%),and the difference was statistically significant(P<0.05).Before intervention,the differences of BI,Fugl Meyer score and SF-36 score between the two groups were not statistically significant(P>0.05).After intervention,the BI,Fugl Meyer score and SF-36 score of the two groups were all significantly higher than those before intervention,and those of the study group were significantly higher than those of the control group(P<0.05).The complication rate of the study group was 12.00%,which was significantly lower than that of the control group(30.00%)(P<0.05).Before intervention,there was no significant difference in the levels of interleukine-1β(IL-1β),interleukine-6(IL-6),interleukine-8(IL-8),tumor necrosis factor-α(TNF-α)between the two groups(P>0.05).After intervention,the levels of IL-1β,IL-6,IL-8,TNF-αin the serum of the study group and the control group decreased significantly(P<0.05),and those in the study group were significantly lower than those in the control group(P<0.05).Conclusion Early rehabilitation nursing has a significant effect on hemiplegia patients with acute stroke.It can reduce the level of inflammatory factors and improve the quality of life.

关 键 词：早期康复护理 急性脑卒中 偏瘫 生活质量 炎症因子 

分 类 号：R473.74[医药卫生—护理学]