观察急性期入院脑卒中患者治疗效果及对睡眠质量的影响  

To Observe the Therapeutic Effect of Acute Cerebral Apoplexy Patients and Analyze Its Influence on Sleep Quality

作　　者：张伦顺 张凌霄 倪丽艳 ZHANG Lunshun;ZHANG Lingxiao;NI Liyan(People′s Hospital of Juye County,Juye 274900,China)

机构地区：[1]山东省巨野县人民医院,巨野274900

出　　处：《世界睡眠医学杂志》2022年第8期1379-1381,1385,共4页World Journal of Sleep Medicine

摘　　要：目的:观察急性期入院脑卒中(CS)患者治疗效果及对睡眠质量的影响。方法:选取2019年1月至2020年1月山东省巨野县人民医院收治的急性期CS患者100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例。对照组患者给予神经内科常规药物治疗,观察组给予急性期康复治疗。采用Barthel指数(BI)评估患者的日常生活能力,采用美国国立卫生院神经功能缺损量表(NIHSS)对2组患者的神经功能状况进行评估,匹兹堡睡眠质量指数(PSQI)评价2组患者治疗前后的睡眠质量,采用视觉模拟评分法(VAS)比较2组患者的疼痛情况,采用Fugl-Meyer运动功能评定表对患者肢运动功能进行评分,同时比较2组治疗效果以及并发症发生情况。结果:治疗后,观察组患者的NIHSS评分、PSQI评分、VAS评分均显著低于对照组,BI评分、Fugl-Meyer评分显著高于对照组,观察组治疗有效率明显高于对照组;观察组并发症发生率显著低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:采用神经内科与康复综合治疗的方法治疗急性期脑卒中患者,有利于患者神经系统的恢复以及肢体功能的康复,可以有效改善患者的睡眠质量,提高患者的治疗效果,有效减少并发症的发生率,值得临床推广使用。Objective:To observe the therapeutic effect of acute cerebral stroke(CS)patients and its influence on sleep quality.Methods:A total of 100 patients with acute CS admitted to Juye County People’s Hospital of Shandong Province from January 2019 to January 2020 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 50 patients in each group.The patients in the control group were treated with routine drugs of Neurology,and the patients in the observation group were treated with rehabilitation treatment in the acute phase.Barthel Index(BI)was used to evaluate the daily living ability of the patients,National Institutes of health neurological deficit scale(NIHSS)was used to evaluate the neurological status of the two groups of patients,and Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of the 2 groups of patients before and after treatment,Visual Analogue Scale(VAS)was used to compare the pain of the 2 groups of patients,and Fugl-Meyer motor function rating scale was used to evaluate the motor function of the patients’limbs.At the same time,the treatment effects and complications of the 2 groups were compareda.Results:After treatment,the NIHSS score,PSQI score and VAS score of the patients in the observation group after treatment were significantly lower than the control group,and the BI score and Fugl-Meyer score were significantly higher than the control group.The effective rate of treatment in the observation group was significantly higher than the control group;The complication rate in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The comprehensive treatment of neurology and rehabilitation in the treatment of acute stroke patients is beneficial to the recovery of the patient’s nervous system and limb function,can effectively improve the sleep quality of patients,improve the treatment effect of patients,and effectively reduce the incidence of c

关 键 词：脑卒中患者 神经内科 康复综合治疗 睡眠质量 

分 类 号：R722.151[医药卫生—儿科] R338.63[医药卫生—临床医学]