脑卒中偏瘫患者的早期康复护理的临床观察

Clinical observation of the rehabilitation nursing of early hemiplegic patient with acute stroke

目的探讨早期康复护理干预对脑卒中偏瘫患者的神经缺损症状功能恢复的影响,为临床康复治疗提供依据。方法采用随机对照试验,选择发病两周内的脑卒中患者64例,随机分为早期康复护理治疗组(31例)及对照组(33例),治疗前后定期对患者进行神经功能缺损评定,日常生活活动能力(ADL)评定,神经功能缺损评定采用中国卒中量表(CSS),ADL评定采用Barthel指数量表,以治疗第28天CSS和ADL改变作为主要疗效判断标准。结果 28 d后治疗组、对照组CSS相比差异有统计学意义(P<0.05);两组ADL相比差异有统计学意义(P<0.05),治疗组无明显不良反应。结论给予早期康复护理可以明显改善脑卒中偏瘫患者日常生活能力,减少并发症的发生。

Objective To study the effect of hemiplegic patient with acute stroke with early rehabilitation nursing. Methods We performed a randomized controlled study on acute stroke patients. 64 patients, enrolled within 14days of onset were allocated to rehabilitation nursing group （ n = 31 ） or control group （ n = 33 ） randomly. Before and after treatment,we assessed the neurological deficits and activities of daily living（ADL） using Chinese Stroke Scale （CSS） and Barthel Index respectively. Clinical efficaeywas evaluated according to changes of CSS and ADL scores on the 28th day. Results On the 28th day, CSS and ADL were evaluted. There was a significant difference of CSS scores between rehabilitation nursing group and the controlgroup （ P 〈 0. 05 ）. There was a significant difference of ADL scores between rehabilitation nursing group and the control group （ P 〈 0. 05 ）. There was no distinct adverse reaction in rehabilitation nursing group. Conclusion Early in- tervention rehabilitation nursing can improve the daily living activity of acute stroke patients and reduce the incidence of complications.