中风偏瘫急性期的康复护理

Rehabilitation nursing of hemiplegic stroke patient in acute period.

目的探讨康复护理对中风偏瘫急性期患者日常生活能力和肢体运动功能的作用和重要性。方法选取80例发病在2周以内的中风患者经临床和CT确诊,随机分为康复组和对照组各40例,2组治疗用药原则相同,康复组在急性期即进行康复护理,对照组于急性期过后再进行康复护理。康复护理2个月后同时对2组作效果评价。结果康复前2组Barthel指数及Fugl-Meyer运动功能评分差异均无显著性。经平均2个月的康复体疗,2组患者评分都有所提高。康复组患者评分提高幅度更大,经t检验两组差异有显著性(P<0.01)。结论早期康复可以防止和减轻废用综合征的产生并促进功能恢复,对中风有良好的预后。

Objective To explore the effect and importance of rehabilitation nursing affected normal living ability and the motor function of the extremity in acute period of hemiplegic stroke patients. Methods 80 cases of stroke which had broken out within 2 weeks and diagnosed by clinic and CT,devided into 40 cases of the rehabilitation group and 40 cases of the control group. The same drug treating principle was used in two groups, but rehabilitation nursing were made in the acute period of the rehabilitation nursing group, rehabilitation nursing were made after the acute period of the control group. The effect evaluations were made after 2 months of rehabilitation motor training in two groups. Results The scores of Bobeth index and Fugl - Meyer motor function had no significant differences in two groups before the rehabilitation motor training. After 2 months of rehabilitation training, the scores of two groups had improved. The scores of rehabilitation group patients improved more obviously, there were significant differences between two groups after t test（P 〈 0.01 ）. Conclusion The early rehabilitation may be prevent and reduce disuse syndrome incidence and inhance function recovery, and it should have good proghosises to the prehensive rehabilitation of stroke patients.