目标化康复指导路径对急性脑梗死偏瘫患者肢体功能及睡眠质量的影响探讨  

Exploration on effect of goal-directed rehabilitation pathway on limb function and sleep quality of patients with acute cerebral infarction and hemiplegia

作　　者：汪梅贵 颜小润 王瑞丽 张骄莹 汪秋芬 WANG Mei-gui;YAN Xiao-run;WANG Rui-li(Rehabilitation Medicine Department,The 910th Hospital of the Joint Logistics Support Force,Quanzhou 362000,China)

机构地区：[1]联勤保障部队第910医院康复医学科,362000 [2]联勤保障部队第910医院骨科

出　　处：《中国现代药物应用》2025年第4期163-165,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨目标化康复指导路径对急性脑梗死偏瘫患者肢体功能及睡眠质量的影响。方法选取100例急性脑梗死偏瘫患者,以随机数表法分为对照组和观察组,各50例。对照组实施常规康复治疗,观察组同步实施目标化康复指导路径。比较两组患者肢体功能和睡眠质量评分。结果干预后,两组患者上肢、下肢功能评分均较干预前提高,且观察组患者上肢功能评分(55.25±2.79)分、下肢功能评分(24.88±2.19)分均明显高于对照组的(47.65±2.68)、(19.33±2.20)分(P<0.05)。干预后,两组患者睡眠质量、入睡时间、睡眠障碍、催眠药物、日间功能障碍、睡眠时间、睡眠效率评分及总分均较干预前降低,且观察组患者睡眠质量评分(0.67±0.12)分、入睡时间评分(0.58±0.14)分、睡眠障碍评分(0.75±0.17)分、催眠药物评分(0.68±0.19)分、日间功能障碍评分(0.63±0.15)分、睡眠时间评分(1.04±0.10)分、睡眠效率评分(0.78±0.10)分及总分(5.48±0.43)分,均明显低于对照组的(1.55±0.22)、(1.30±0.17)、(1.34±0.20)、(1.40±0.12)、(1.68±0.14)、(1.39±0.17)、(1.33±0.14)、(9.64±1.46)分(P<0.05)。结论通过对急性脑梗死偏瘫患者实施目标化康复指导路径既有利于改善肢体功能,又可以改善睡眠质量,值得进一步推广。Objective To explore the effect of goal-directed rehabilitation pathway on limb function and sleep quality of patients with acute cerebral infarction and hemiplegia.Methods A total of 100 patients with acute cerebral infarction and hemiplegia were selected and divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was given routine rehabilitation treatment,and the observation group was given goal-directed rehabilitation guidance pathway simultaneously.The limb function and sleep quality score of the two groups were compared.Results After intervention,the scores of upper and lower limb motor function in both groups were improved compared with before intervention;the score of upper limb function was(55.25±2.79)points in the observation group,and the score of lower limb function score was(24.88±2.19)points,which were significantly higher than(47.65±2.68)and(19.33±2.20)points in the control group(P<0.05).After intervention,the scores of sleep quality,sleep latency,sleep disorders,hypnotic drugs,daytime dysfunction,sleep time,sleep efficiency and total score in both groups were lower than those before intervention;in the observation group,the sleep quality score was(0.67±0.12)points,the sleep latency score was(0.58±0.14)points,the sleep disorder score was(0.75±0.17)points,the hypnotic drug score was(0.68±0.19)points,the daytime dysfunction score was(0.63±0.15)points,the sleep time score was(1.04±0.10)points,the sleep efficiency score was(0.78±0.10)points and the total score was(5.48±0.43)points,which were significantly lower than(1.55±0.22),(1.30±0.17),(1.34±0.20),(1.40±0.12),(1.68±0.14)(1.39±0.17),(1.33±0.14)and(9.64±1.46)points in the control group(P<0.05).Conclusion The implementation of goal-directed rehabilitation pathway in patients with acute cerebral infarction and hemiplegia is beneficial to improve their limb function,sleep quality and physical and mental health,which is worthy of further promotion.

关 键 词：目标化康复指导路径 急性脑梗死 偏瘫 肢体功能 睡眠质量 

分 类 号：R493[医药卫生—康复医学] R743.33[医药卫生—临床医学]