早期肢体康复训练应用于静脉溶栓急性脑梗死患者的效果观察  

Effect of Early Limb Rehabilitation Training in Patients with Acute Cerebral Infarction after Intravenous Thrombolysis

作　　者：焦玲娣 徐晶 高华琴 朱丽娟 JIAO Lingdi;XU Jing;GAO Huaqin;ZHU Lijuan(The Third People's Hospital of Taizhou,Taizhou 225321,China;不详)

机构地区：[1]泰州市第三人民医院,江苏泰州225321

出　　处：《中外医学研究》2023年第25期113-117,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察早期肢体康复训练应用于静脉溶栓急性脑梗死患者的效果。方法:选取2020年9月—2023年3月泰州市第三人民医院神经内科收治的80例急性脑梗死患者作为研究对象,所有患者均接受静脉溶栓治疗。应用随机数表法将患者分为对照组与研究组,各40例。对照组实施常规护理,研究组实施早期肢体康复训练。比较两组护理前后肢体运动能力、卒中情况及生活质量,并比较两组并发症发生情况。结果:护理前,两组肢体运动能力比较,差异无统计学意义(P>0.05);护理后,两组运动功能、感官功能、平衡能力、关节活动范围及关节疼痛评分较护理前均提高,且研究组均高于对照组,差异有统计学意义(P<0.05)。护理前,两组卒中情况比较,差异无统计学意义(P>0.05);护理后,两组意识水平、视野、凝视、面瘫、语言评分较护理前均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。护理前,两组生活质量比较,差异无统计学意义(P>0.05);护理后,两组生活质量较护理前均提高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:早期肢体康复训练应用于静脉溶栓急性脑梗死患者,能加快肢体运动能力恢复,降低脑卒中评分,提升生活质量,降低并发症发生率。Objective:To observe the effect of early limb rehabilitation training in patients with acute cerebral infarction after intravenous thrombolysis.Method:A total of 80 patients with acute cerebral infarction who admitted to the Department of Neurology of the Third People's Hospital of Taizhou from September 2020 to March 2023 were selected as observation objects,and all patients were given intravenous thrombolysis treatment.The patients were divided into the control group and the study group by random number table method,40 cases in each group.The control group were given routine care and the study group was given early limb rehabilitation function training.The limb motor ability function,stroke and quality of life before and after nursing were compared between two groups,and the incidence of complications was compared between two groups.Result:Before nursing,there was no significant difference in limb movement ability between the two groups(P>0.05).After nursing,the scores of motor function,sensory function,balance ability,joint range of motion and joint pain in both groups were increased than those before nursing,and the scores in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in stroke between the two groups(P>0.05).After nursing,the level of consciousness,visual field,gaze,facial palsy and language scores in the two groups were decreased than those before nursing,and the scores in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in quality of life between the two groups(P>0.05).After nursing,the quality of life of both groups were improved,and the study group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P

关 键 词：急性脑梗死 早期肢体康复训练 肢体功能 

分 类 号：R473.74[医药卫生—护理学]