康复干预对缺血性脑卒中恢复期患者神经和认知功能的改善作用  

Effect of rehabilitation intervention on the improvement of nerve function and cognitive function in patients with ischemic stroke during convalescence

作　　者：王艳玲 WANG Yan-ling(Liaoning Mental Health Center,Kaiyuan 112300,China)

机构地区：[1]辽宁省精神卫生中心,112300

出　　处：《中国实用医药》2021年第34期190-192,共3页China Practical Medicine

摘　　要：目的分析缺血性脑卒中恢复期患者采取康复干预对于改善其认知功能和神经功能的效果。方法92例缺血性脑卒中恢复期患者,按照随机数字表法分为对照组和观察组,各46例。对照组实施常规护理,观察组采取康复护理干预。比较两组干预前后的Fugl-Meyer运动量表(FMA)、脑卒中神经功能缺损评分表(CNS)、痴呆评定量表(CRD)、简明精神状态检查量表(MMSE)评分及满意度。结果干预后,观察组FMA评分(38.66±6.11)分高于对照组的(34.27±5.81)分,CNS评分(13.23±3.04)分低于对照组的(16.71±3.42)分,差异均有统计学意义(P<0.05)。干预后,观察组CRD评分(1.60±0.28)分低于对照组的(1.81±0.30)分,MMSE评分(29.03±4.56)分高于对照组的(24.61±3.92)分,差异有统计学意义(P<0.05)。观察组满意度为95.65%,高于对照组的76.09%,差异有统计学意义(P<0.05)。结论康复护理干预可使缺血性脑卒中恢复期患者的认知和神经功能得到显著改善,提升其运动功能,患者满意提高,临床应用价值较高,值得应用。Objective To analyze the effect of rehabilitation intervention on the improvement of nerve function and cognitive function in patients with ischemic stroke during convalescence.Methods A total of 92 patients with ischemic stroke during convalescence were divided into control group and observation group according to the random numerical table,each with 46 cases.The control group received conventional nursing,and the observation group received rehabilitation nursing intervention.Both groups were compared in terms of Fugl-Meyer assessment(FMA),Canada neurological scale(CNS),clinical dementia rating(CDR),mini-mental state examination(MMSE)scores before and after the intervention,and satisfaction degree.Results After the intervention,the FMA score(38.66±6.11)points of the observation group was higher than(34.27±5.81)points of the control group,and the CNS score(13.23±3.04)points was lower than(16.71±3.42)points of the control group.All the differences were statistically significant(P<0.05).After the intervention,the CDR score(1.60±0.28)points of the observation group was lower than(1.81±0.30)points of the control group,and the MMSE score(29.03±4.56)points was higher than(24.61±3.92)points of the control group.All the differences were statistically significant(P<0.05).The satisfaction degree of the observation group was 95.65%,which was higher than 76.09%of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation intervention for patients with ischemic stroke during convalescence can significantly improve the nerve function and cognitive function,enhance their motor function and satisfaction.It has high clinical application value and is worthy of application.

关 键 词：缺血性脑卒中恢复期 康复干预 认知功能 神经功能 满意度 效果 

分 类 号：R473.74[医药卫生—护理学]