三期康复功能训练对脑卒中偏瘫患者肢体恢复的效果分析

Analysis on effects of three-stage rehabilitation training to limb function recovery of stroke patients with hemiplegia

目的探讨分期康复功能训练对脑卒中偏瘫患者肢体功能康复的效果。方法将80例脑卒中偏瘫患者随机分为康复组和对照组各40人，康复组患者根据病情发展进程进行软瘫期、痉挛期和恢复期三期康复功能训练，对照组按传统方法护理，30天后对比两组患者偏瘫肢体肌力恢复情况，评价生活质量等指标。结果康复组明显优于对照组，康复组：上肢肌力Ⅲ-Ⅴ级85％，下肢肌力Ⅲ-Ⅴ级80％；对照组：上肢肌力Ⅲ-Ⅴ级45％，下肢肌力Ⅲ-Ⅴ级75％，生活质量亦有明显提高。结论三期康复功能训练护理可有效提高脑卒中偏瘫患者患肢运动功能和生活质量。

Objective To explore the limb function recovery effects of three-stage rehabilitation training on stroke patients with hemiplegia.Methods 80 cases of stroke hemiplegia patients were randomly divided into rehabilitation group and the control group, with 40 cases for each group, rehabilitation group patients received flaccid paralysis period, spasm stage and recovery as there phases of rehabilitation function training according to the illness development process, and control group used the traditional method of nursing, 30 days later the two groups were compared with limb muscle recovery, evaluation indexes, such as the quality of life.Results Rehabilitation group was better than control group, rehabilitation group： upper limbs strength Ⅲ - Ⅴ level 85%, lower limb muscle Ⅲ - Ⅴ level 80%, the control group： Ⅲ - Ⅴ level 45%, lower limb muscle Ⅲ - Ⅴ level 75%, the quality of life also had increased significantly （P〈0.01）. Conclusion The three phases of rehabilitation function training nursing can effectively improve stroke hemiplegia patients＇ limb movement function and their quality of life.