早期康复训练在急性脑梗死偏瘫患者护理中的应用

Application of early rehabilitation training on hemiplegia patients of acute cerebral infarction

目的:观察早期康复训练对急性脑梗死偏瘫患者康复的影响。方法:选取我科2006年6月～2008年7月首次发病在2d内的脑梗死患者70例,将其随机分为实验组和对照组各35例。对照组采用常规治疗和心理护理,实验组在对照组基础上,于早期同时实施康复护理。通过对两组患者功能独立性测评的比较,研究早期康复训练对急性脑梗死偏瘫患者恢复的影响。结果:治疗后两组患者运动功能评分均高于治疗前(P<0.01),但实验组在运动功能方面的提高优于对照组(P<0.05);认知分两组治疗后无统计学差异(P>0.05);继发障碍中足内翻的发生率实验组低于对照组(P<0.01)。结论:早期康复训练应用于急性脑梗死患者,对恢复患者的运动功能,减少并发症方面有一定影响,值得临床推广应用。

Objective： To evaluate the effect of early rehabilitation training on the hemiplegia patients of acute cerebral infarction. Methods： 70 cerebral infaretion patients were randomly divided into the test group and the control group. Both groups received rentine medical treatment and nursing, and the former group received early rehabilitation care in addition FIM （functional independence measure. ） of the patients, beth admission and discharge were measreed in order to evaluate their ability of daily activities. Results： The motion function grade in two groups after treatment was better than before treatment （ P 〈 0. 01 ）. The test group had an obvious improve in the motion function but not cognition function compared with the control group（ P 〈 0.05） ,there was no remarkable difl＇erene in cognition score between two groups （P 〉 0.0S）. Conclusion ： Early rehabilitation care was effective in improving the motor function of limbs and increasing the ability of daily activities.