早期肢体康复训练应用于高血压脑出血偏瘫患者康复中的价值分析  

Analysis of the Value of Early Physical Rehabilitation Training to the Rehabilitation of Hemiplegic Patients with Hy⁃pertensive Cerebral Hemorrhage

作　　者：蔡畅 王梦露 肖中兴 Cai Chang;Wang Menglu;Xiao Zhongxing(Department of Rehabilitation Medicine,Tianjin Baodi District People’s Hospital,Tianjin,301800,China)

机构地区：[1]天津市宝坻区人民医院康复医学科,天津301800

出　　处：《黑龙江医学》2024年第14期1748-1750,共3页Heilongjiang Medical Journal

摘　　要：目的:探析高血压脑出血偏瘫患者采取早期肢体康复训练的康复效果。方法:选取2021年9月—2022年12月天津市宝坻区人民医院收治的60例高血压脑出血偏瘫患者作为研究对象,按照随机数表法分为对照组和观察组,每组各30例。对照组患者实施传统干预,观察组患者实施早期肢体康复训练。比较两组患者干预前后神经功能缺损评分、Barthel指数、Fugl-meyer量表(FMA)评分及护理满意度评分情况。结果:干预后,观察组患者美国国立卫生研究院卒中量表(NIHSS)评分为(9.12±3.12)分,低于对照组的(13.52±2.35)分,差异有统计学意义(t=6.183,P<0.05);干预后,观察组患者Barthel指数、FMA评分高于对照组,差异有统计学意义(t=12.551、11.919,P<0.05);观察组患者护理满意度评分中护理态度、护理安全、护理技能、护理水平及总分均高于对照组,差异有统计学意义(t=11.023、12.958、9.522、10.693、22.811,P<0.05)。结论:早期肢体康复训练可改善高血压脑出血偏瘫患者肢体功能及日常生活能力,患者的神经功能缺损情况得到明显改善,患者对护理服务满意度较高,有利于患者病情康复。Objective:To explore the effect of early physical rehabilitation training on the rehabilitation effect of hemiplegic patients with hypertensive cerebral hemorrhage.Methods:60 hypertensive cerebral hemorrhage hemiplegia patients admitted to the hospital from September 2021 to December 2022 were selected as the study subjects,and they were divided into the control group and the observation group according to the method of randomized number table,with 30 cases in each group.The patients in the control group implemented traditional intervention,and the patients in the observation group implemented early physical rehabilitation training.The nerve function deficit score,Barthel index,Fugl-meyer scale(FMA)score and nursing satisfaction score before and after the intervention were compared between the two groups of patients.Results:After the intervention,the National Institutes of Health Stroke Scale(NIHSS)score of the patients in the observation group was(9.12±3.12)points,which was lower than(13.52±2.35)points of the control group,and the difference was statistically significant(t=6.183,P<0.05).After intervention,Barthel index and FMA score in the observation group were higher than those in the control group,and the difference was statistically significant(t=12.551,11.919;P<0.05).Among the nursing satisfaction score of patients,nursing attitude,nursing safety,nursing skills,and nursing level,in the observation group were higher than control group,and the difference was statistically significant(t=11.023,12.958,9.522,10.693,22.811;P<0.05).Conclusion:Early limb rehabilitation training can improve the limb function and daily life ability of hemiplegic patients with hypertensive cerebral hemorrhage,and the neurological deficits of the patients have been significantly improved.The patients’satisfaction with the nursing service is higher,which is conducive to the recovery of the patients’condition.

关 键 词：高血压脑出血 偏瘫 早期肢体康复训练 神经功能缺损 BARTHEL指数 

分 类 号：R493[医药卫生—康复医学]