早期康复训练对急性脑梗死患者肢体运动功能的影响

Effect of early rehabilitation training on the limb movement function of patients with acute cerebral infarction

目的探讨早期康复训练对急性脑梗死偏瘫患者肢体运动功能的影响。方法 76例急性脑梗死患者随机分为对照组和康复组,各38例。对照组采取常规治疗和护理,康复组以对照组为基础,介入早期康复训练。评价2组患者肌力、欧洲脑卒中量表评分(ESS)及日常生活能力评分(ADL),对比2组患者护理满意度。结果 2组护理后患者肌力、ESS以及ADL较护理前均有显著改善(P<0.01),且康复组改善程度显著优于对照组(P<0.01);康复组患者在健康宣教、心理护理、康复护理等方面的护理满意度显著高于对照组(P<0.01)。结论对脑梗死偏瘫患者早期实施康复训练可促进患者肌力及神经功能恢复,改善生存质量。

Objective To explore the effect of early rehabilitation training on the limb movement function of hemiplegic patients with acute cerebral infarction. Methods Seventy-six patients with acute cerebral infarction were randomly assigned into control group （n = 38 ） and rehabilitation group （n = 38 ）. Control group was given routine treatment and nursing, while rehabilitation group was intervened early rehabilitation training based on control group. The muscle strength, Euro- pean Stroke Scale （ESS） and activities of daily living （ADL） scores were assessed, and the nursing satisfactory degree was also compared in two groups. Results Compared with nursing before, the muscle strength, ESS and ADL scores improved dramatically in two groups after nursing （P 〈 0.01 ）, and the improvement in rehabilitation group was superior to that in control group （ P 〈 0.01 ）. The nursing satisfactory degrees of rehabilitation group were significantly higher than those of control group in the aspects of health education, psychological and rehabilitation nursing （P 〈0.01 ）. Conclusion Application of early rehabilitation training for hemiplegic patients with cerebra/infarction can promote the recovery of muscle strength and neurological function, and improve the quality of life.