早期综合干预对脑卒中偏瘫病人恢复的影响

目的：探讨早期康复护理对脑卒中偏瘫病人日常生活能力和肢体功能的影响.方法：100例住院患者随机分为干预组50例,对照组50例,2组均给予常规药物治疗和常规护理,干预组在此基础上遵循循序渐进、主动与被动相结合的原则在良肢位摆放、肢体按摩、床边康复训练、心理干预及日常生活能力指导等方面加强护理,并进行效果评价,评价采用Fug-Meyer积分评价肢体功能,Barthel指数评价日常生活能力.结果：4周～8周后观察患者其神经功能缺损程度和日常生活能力积分变化情况,干预组有了明显提高较对照组有统计学意义（P＜0.05）.结论：早期康复护理介入对脑卒中偏瘫患者肢体功能恢复和生活能力提高有积极的促进作用,可有效减少病残率,改善预后,提高病人的生存质量.

Objective： To evaluate the effect of early rehabilitation nursing on the activities of daily life and the functions of extremities of patients with stroke hemiplegia. Method： 100 patients were derided randomly into two groups, the intervention group and the control group. Both groups were given the conventional medical treatment and routine nuring care. At the same time, the intervention group, adhering to the step--by--step principle and the passive and active combination principle, were given more intensive care in good limb position, massage of the limbs, bedside rehabilitation training, psychological intervention, and directions of activities of daily life. The effect on the functions of extremities was evaluated by the Fugl--Meyer Motor Assessment（FMA）, and the effect on activities of daily life was estimated by Barthel Index（BI）. Result： After 4 to 8 weeks, the nerve function damage degree and activities of daily life of the intervention group was much improved than that of the control group, with statistical significance（P〈0.05）. Conclusion： Early rehabilitation intervention has a positive effect upon the functional recovery of extremities and improvement of activities of daily life of patients with stroke hemiplegia, reduces morbidity effectively, further improves prognosis, and enhances the life quality of the patients.