卒中单元早期康复护理对脑卒中偏瘫患者生活能力的影响

Impact of stroke unit early rehabilitation care on stroke patients with hemiplegia viability

目的 探讨卒中单元早期康复护理对脑卒中偏瘫患者生活能力的影响.方法 选择本院2012年3月～2013年10月收治的脑卒中偏瘫患者120例,随机分为两组,其中对照组60例患者给予常规治疗及康复护理,观察组60例患者给予脑卒中单元早期康复护理,主要包括心理护理、肢体康复、针灸治疗、生活能力训练等.康复护理前后采用FM量表、AS评分、SDS评分及Barthel指数（BI）评价患者的肢体运动能力、神经功能缺损、抑郁情绪及日常生活能力变化.结果 护理前两组各指标比较,差异无统计学意义;护理后观察组BI评分明显高于对照组,AS、SDS评分明显低于对照组,两组比较,差异有统计学意义（P＜0.05）.结论 卒中单元早期康复护理可有效促进脑卒中偏瘫患者神经及肢体功能的恢复,改善生活质量,值得应用.

Objective To investigate the impact of stroke unit early rehabilitation care on stroke patients with hemiplegia viability. Methods 120 cases of stroke patients admitted in our hosptal from March 2012 to October 2013,they were randomly divided into two groups,60 patients in the control group were given conventional treatment and rehabilitation care,60 patients of observation group were given stroke unit early rehabilitation care,including psychological care, physical rehabilitation,acupuncture treatment,life skills training.Before and after rehabilitation care,the FM scale,AS score,SDS score and Barthel Index （BI） were used to evaluat the changes in exercise capacity,neurological impairment, depression and daily living activities of patients. Results Before rehabilitation care,indicators of two groups were com- pared,the difference was not statistically significant,after care,the BI score of observation group was significantly higher, AS,SDS scores were significantly lower than the control group,the difference was statistically significant （P〈0.05）. Conclusion The stroke unit care can effectively promote early rehabilitation of nerve and limb function in stroke patients, improve quality of life,it is worthy of application.