早期康復護理對腦卒中臨床療效及偏癱肢體功能的影響分析

　　摘   要：目的  探究早期康復護理應用于腦卒中的臨床效果。方法  選取2016年7月～2017年7月收治的94例腦卒中患者的臨床資料，依照護理方式分為對照組和研究組，每組47例。對照組實施常規(guī)護理，研究組實施早期康復護理，比較兩組臨床療效、肢體功能與心理狀態(tài)。結果  研究組臨床治療總有效率為93.62%，高于對照組的70.21%，差異有統(tǒng)計學意義（P<0.05）。研究組護理后的偏癱肢體功能評分為（69.72±21.04）分，高于對照組的（53.11±16.06）分，差異有統(tǒng)計學意義（P<0.05）。研究組護理后焦慮評分和抑郁評分均低于對照組，差異有統(tǒng)計學意義（P<0.05）。結論  早期康復護理對腦卒中患者生活能力有很好的改善效果，可以促進偏癱肢體功能恢復，降低病發(fā)后致殘率，值得普及。
　　關鍵詞：早期康復護理;腦卒中;偏癱肢體功能
　　中圖分類號：R473.5                                  文獻標識碼：A                                DOI：10.3969/j.issn.1006-1959.2018.05.061
　　文章編號：1006-1959（2018）05-0167-03
　　Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia
　　YIN Mei-li
　�。―epartment of Rehabilitation，Huangmei County Hospital of Traditional Chinese Medicine，Huangmei 435500，Hubei，China）
　　Abstract：Objective  To explore the clinical effect of early rehabilitation nursing in stroke.Methods  94 patients with stroke were selected from July 2016 to July 2017 and divided into control group and study group according to nursing style.There were 47 cases in each group.The control group was given routine nursing，the study group was given early rehabilitation nursing，and the clinical effect，limb function and psychological state were compared between the two groups.Results  The total effective rate of clinical treatment in the study group was 93.62%，which was higher than 70.21% in the control group，the difference was statistically significant （P<0.05）.The score of limb function of hemiplegia after nursing in the study group was（69.72±21.04），which was higher than that in the control group（53.11±16.06），the difference was statistically significant（P<0.05）.The scores of anxiety and depression after nursing in the study group were lower than those in the control group，the difference was statistically significant（P<0.05）.Conclusion  Early rehabilitation nursing has a good effect on the improvement of life ability of stroke patients.It can promote the recovery of hemiplegic limb function and reduce the disability rate after the disease.It is worth popularizing.
　　Key words：Early rehabilitation nursing;Stroke;Hemiplegic limb function
　　腦卒中（stroke）是由腦部血液循環(huán)障礙引起腦半球或腦干局部功能缺損的急性病癥，患者年齡普遍在40歲以上，以男性患者居多，病發(fā)后會出現不同情況的肢體行動障礙，甚至會產生肢體偏癱，對患者的生活及家庭造成嚴重影響[1]。腦卒中偏癱患者在制動3 d以上會有肌原纖維萎縮情況產生，康復訓練能夠對中樞神經進行塑造鍛煉，較好的為組織修復損傷，穩(wěn)定腦內組織循環(huán)。為減少腦卒中患者病發(fā)后致殘率，幫助提升患者的生存能力，加強康復效果，研究選取2016年7月～2017年7月收治的腦卒中致偏癱患者的治療，觀察早期康復護理應用在腦卒中患者的影響效果，分析報告如下。

相關熱詞搜索：偏癱 肢體 療效 康復 臨床