脑卒中肢体挛缩的康复护理干预

THE INFLUENCE OF REHABILITATION NURSING INTERFERENCE ON THE LIMB FUNCTION OF STROKE PATIENTS COMBINED WITH LIMB SPASTICITY

目的探讨康复护理干预对脑卒中肢体挛缩患者肢体功能康复的影响。方法将60例脑卒中合并肢体挛缩患者随机分为对照组30例和实验组30例,对照组按常规对患者进行肢体功能护理,实验组在对照组的基础上进行康复护理干预。应用Ashworth痉挛量表(ASS)、Brunnstrom运动评定法对两组患者进行实施措施前、实施措施后3个月时调查,采用2检验比较两组患者肢体挛缩程度、挛缩肢体运动功能情况。结果两组患者肢体挛缩程度、挛缩肢体运动功能情况比较,p<0.05,差异有统计学意义。实验组患者肢体挛缩程度、挛缩肢体运动功能改善显著高于对照组。结论康复护理干预能明显改善脑卒中肢体挛缩患者肢体运动功能。

Objective To explore the influence of rehabilitation nursing interference on the limb function of stroke patients combined with limb spasticity. Methods A total of 60 stroke patients with limb spasticity were en- rolled and divided into 2 groups averagely and randomly. The regular limb function nursing was performed on patients in the control group, while the rehabilitation nursing interference was carried out in the experimental group, besides the regular nursing performance. Ashworth Spasticity Scale （ASS） and Brunnstrom Rating Scale （BRS） were used to investigate patients before and 3 months after the performance. X： Test was used to compare the changes of moving function in the two groups. Results Changes of spasticity and moving function of limbs in the two group patients suf- fered form spasticity were compared, p 〈 O. 05. The differences had statistically significance. The recovery of the limb spasticity and moving function in the experimental group was much better than the control group. Conclusion The re- habilitation nursing interference could obviously improve the moving function of limbs in stroke patients with limb spasticity.