抗肢体痉挛康复模式在脑卒中致偏瘫患者早期康复中的应用

Application of anti-spasm skills in the early stage of rehabilitation in stroke patients with hemiplegia

目的对30例脑卒中致偏瘫患者进行早期抗肢体痉挛康复训练,并评价其效果。方法根据患者病情和生命体征情况制订个体训练计划,分别于发病后2～14d开始活动训练、指导坐位练习及日常生活自理能力(ADL)恢复的训练。住院30d评价患者肢体功能恢复情况和并发症情况。结果患者ADL评分由入院时的(29.12±7.35)分提高至(52.35±7.80)分;合并肩关节疼痛、足下垂、足内翻、上肢屈肌痉挛、下肢伸肌痉挛的比率也有所下降。结论在患病早期对脑卒中患者实施抗肢体痉挛康复训练,能有效降低残障程度,减少并发症发生,提高患者的生活自理能力。

Objective To explore the methods and effects of anti-spasm skills in the early stage of rehabilitation in 30 stroke patients with hemiplegia.Methods According to the patients＇ illness condition and vital signs,an individualized anti-spasm rehabilitation plan was made and implemented from 2 to 14 days after stroke.The patients＇ limb functions and complications were investigated at 30 days after admission.Results The score of activities of daily living increased from（29.12±7.35） to（52.35±7.80）.The incidence of complications such as shoulder pain,foot prolapse,foot turn inward,upper limbs flexor spasm,lower limb extensor spasm decreased than before.Conclusion Application of anti-spasm skills in the early stage of rehabilitation in stroke patients can effectively reduce the degree of disability and incidence of complications,and improve their ability of self-care.