早期康复护理对急性脑梗死患者功能恢复的影响

Influence of the Early Rehabilitation Nursing on the Functional Recovery of Patients with Acute Cerebral Infarction

目的探讨早期康复护理在急性脑梗死患者功能恢复中的疗效。方法选取急性脑梗死患者106例,并随机分为早期康复组和对照组,两组患者均采用常规神经药物治疗和护理,早期康复组于发病48h进行康复护理训练。两组均于训练前和训练后30d应用简化Fug1-Meyer量表(FMA)评定患者的运动功能和应用欧洲卒中评分法(ESS)评价神经功能情况。结果在训练前两组的FMA评分、ESS评分差异均无统计学意义(P>0.05);训练30d后,早期康复组的ESS评分明显比训练前及对照组优,差异有显著性(P<0.0.1),FMA评分比训练前明显好转,有显著性差异(P<0.0.1);与对照组比较,上肢差异有高度统计学意义(P<0.0.1),下肢差异无统计学意义(P>0.05)。结论早期康复护理训练能促进急性脑梗死患者功能的恢复,提高患者的生存质量。

Objective To discuss the effects of the early rehabilitation nursing on the functional recovery of patients with acute cerebral infarction.Methods 106 acute cerebral infarction patients selected were randomly divided into the early rehabilitation group and control group,all the patients received conventional nerve drug treatment and nursing,the early rehabilitation group was taken the rehabilitation nursing after 48 hours.FMA and ESS were used to assess the functional recovery in the two groups 30 d before and after training.Results Before training,the FMA and ESS grades had no statistical significance（P 0.05）;after training for 30 d,the ESS grade of the early rehabilitation group was better than that before training;and in the control group,the difference was significant（P 0.01）.The FMA grade was better than that before training with significant difference（P 0.01）;in contrast to the control group,the upper limb had dif ferently statistical significance（P 0.01）,but the lower extremity had no statistically significant difference（P 0.05）.Conclusion The early rehabilitation nursing training accelerates the functional recovery of patients with acute cerebral infarction and improves their quality of life.