脑梗塞偏瘫失语患者实施早期护理干预的效果观察

The clinical effect of early nursing intervention on patients with cerebral infarction complicated with hemiplegia and aphasia

目的探究早期护理干预对脑梗塞偏瘫失语患者的临床效果。方法按照随机数字表法将2014年2月至2016年7月我院收治的114例脑梗塞偏瘫失语患者分为A、B两组,各57例。A组使用常规护理措施,B组使用早期护理干预,对比两组患者的疗效、日常能力及运动能力。结果 A组显效、有效、无效的患者分别为21、19、17例,B组分别为33、18、6例,B组患者总有效率(89.47%)高于A组(70.18%),差异有统计学意义(P<0.05);B组患者的Barthel指数及上、下肢FAM量表评分分别为(71.25±3.21)分、(45.23±3.21)分、(25.42±1.36)分,显著优于A组患者的(54.28±2.57)分、(28.03±2.65)分、(18.12±1.65)分,差异有统计学意义(P<0.05)。结论对脑梗塞偏瘫失语的患者进行早期护理干预具有较好疗效且对患者日常能力以及运动能力具有一定改善作用。

Objective To explore the clinical effect of early nursing interventions on patients with cerebral infarction complicated with hemiplegia and aphasia. Methods One hundred and fourteen cases of patients with cerebral infarction complicated with hemiplegia aphasia from February 2014 to July 2016 in our hospital were selected and randomly divided into group A and group B, with 57 cases each group. The group A adopted the conventional nursing care, while the group B adopted the early nursing interventions. The clinical effect, activity of daily living and exercise capacity were compared in the two groups. Results There were 21 excellent cases, 19 valid cases and 17 invalid cases in group A, while there were 33 excellent cases, 18 valid cases and 6 invalid cases in group B. The total effective rate of group B （89.47%） was higher than that of group A （70.18%）, the difference was significant （P〈0.05）. After the intervention, the Barthel index and FAM points of upper and lower limbs of the Group B were （71.25±3.21）, （45.23±3.21） and （25.42±1.36）, which were significant better than those of the Group A （54.28±2.57）, （28.03±2.65） and （18.12±1.65） （P〈0.05）. Conclusion For the treatment patients with cerebral infarction complicated with hemiplegia and aphasia, the early nursing interventions can improve the clinical effect, activity of daily living and exercise capacity.