脑卒中偏瘫早期康复护理体会

Inchoate Healing Nursing for Patients with Paralysis Caused by Cerebral Apoplexy

目的:观察脑卒中偏瘫早期康复护理干预的临床效果。方法:80例脑卒中偏瘫住院患者随机分为两组,干预组43例,采用早期康复护理,包括良肢位摆放、肢体按摩、床边康复训练、心理和日常生活能力指导等,每日1次,对照组37例采用常规护理。4周后观察其神经功能缺损程度和日常生活能力积分变化情况。结果:干预组43例中35例患者的日常生活自理能力和神经功能缺损程度均有了明显提高(肌力在3级以上),较常规护理组有统计学意义(P<0.05)。结论:在患者发病的急性期和恢复早期得到正规康复,能够充分挖掘恢复潜能,为以后肢体运动功能得到巩固和进一步改善提供必要的基础保证,早期康复护理干预对脑卒中偏瘫有较好的临床优势。

Objective：To observe the clinical effect of inchoate healing nursing for paralysis caused by cerebral apoplexy. Method：Divided the 80 paralysis patients into 2 groups randomLy,43 for intervene group,using the inchoate healing nursing which included putting the limbs in right position,massage for the limbs,healing practice beside the bed,guiding the mental and daily life for once a day,and 37 for control group using ordinary nursing. Observing the impairment level of nerve function and the change of ability in daily life for 4 weeks. Result：35 cases of intervene group have great improve in the impairment level of nerve function and the change of ability in daily life,and compare with the control group,it have the significant meaning （P0.05）. Conclusion：Giving the inchoate healing nursing in acute stage and convalescence can dig the recover ability plenary,and also giving the basic guarantee for consolidating and improving of movement function of limbs,the inchoate healing nursing has great clinic effect of paralysis caused by cerebral apoplexy.