正确良肢体位摆放对脑卒中患者治疗预后的影响

Good right body put impact on treatment outcomes for patients with stroke

目的:探讨良肢体位摆放对脑卒中患者偏瘫侧肢体运动功能、肌张力及日常生活自理能力(ADL)的影响。方法:将符合研究条件的脑卒中患者分为实验组和对照组,实验组30例,对照组30例。入院后2组均接受相同的治疗时间、治疗强度、治疗方法,实验组同时全程采用良肢体位摆放,对照组则受多方影响采取随意体位。采用Brunnstrom评定量表、ADL量表及改良的Ashworth肌张力评定量表,对2组患者住院当时、住院第30天的功能进行评定。结果:实验组患者偏瘫侧肢体并发症明显低于对照组(P<0.05)。运动功能、肌张力及ADL能力改善程度与对照组比较差异有统计学意义(P<0.05)。结论:对脑卒中患者偏瘫肢体早期全程进行良肢体位摆放,能减少偏瘫侧肢体并发症的发生,减少肢体的痉挛和挛缩,促进瘫痪肢体的康复,从而提高患者的生活自理能力和生活质量,促进患者早日回归社会。

Objective： To study the good body position is put for stroke patients with hemiplegia side limb motor function, muscle tone, and the influence of daily life （ADL） of independence. Methods： Meet the requirements for the study of stroke patients were divided into experimental group and control group, experimental group 30 cases and control group 30 cases. After admission in the two groups were treated with the same time, the strength of treatment, treatment method, the experimental group and use good body position to put all the way, the control group is affected by many take random position. Without the rating scale, ADL scale and the modified Ashworth muscle tension, the function of patients in hospital and 30 days in hospital were evaluated. Results： The patients with hemiplegia side body complications were significantly lower than the control group （P〈0.05）. Motor function, muscle tension and daily life activities ability improvement compared with the con- trol group with significant difference （P〈0.05）. Conclusion： Patients with stroke hemiplegia limbs early to put a good body position all the way can reduce the hemiplegic side body complications, limb spasm and contracture, and promote the paralyzed limbs rehabilitation, so as to improve the life of patients with self-care ability and life quality, promote patients early retum to society.