超早期良肢位摆放防治偏瘫患者关节挛缩的康复护理

Normal limb position for prevention of joint contracture: Rehabilitative care of 52 patients with early stage hemiplegia

目的:探讨脑卒中偏瘫患者超早期良肢位摆放对患者关节挛缩的影响。方法:将我院收治的104例脑卒中患者随机分为观察组和对照组,每组52例,两组患者均接受神经内科常规治疗和康复训练,对照组患者给予神经内科常规护理;观察组患者在此基础上,入院即进行早期康复护理,给予患肢良肢位摆放。治疗2个月后采用Brunnstrom运动功能分级和Barthel指数评估患者的运动功能,采用Ash-wovoh量表评定防治关节挛缩有效性。结果:治疗后观察组患者Brunnstrom运动功能分级和Barthel指数明显优于对照组(P<0.05);治疗后观察组患者发生关节挛缩12例(23.1%),对照组患者发生关节挛缩35例(67.3%),两组患者关节挛缩发生率比较差异具有统计学意义(P<0.05)。结论:超早期良肢位摆放对于偏瘫患者防止关节挛缩和肢体功能的恢复有积极效果。

Objective： To investigate the influence of normal limb position for prevention of joint contracture in patients with early stage hemiplegia.Methods： A total of 104 cases were randomly divided into study group and control group,with 52 cases in each group.Both groups were treated with conventional therapy and neurological rehabilitation.For the study group,normal limb position was also required and early rehabilitation care was conducted.After 2 months,Brunnstrom,Barthel,and Ashwovoh were used for evaluation of motor function and joint contracture.Results： The study group showed significant better outcomes regarding to Brunnstrom and Barthel index（P〈0.05）.Joint contractures was observed in 12 patients of the study group（23.1%） and 35 patients in the control group（67.3%）,showing significant difference between the two（P〈0.05）.Conclusions： Normal limb position is effective for prevention of joint contracture in patients with early stage hemiplegia.