脑卒中伴偏瘫的超早期康复训练护理

Ultra early rehabilitation training for stroke patients with hemiplegia

目的探讨超早期康复训练护理对脑卒中偏瘫患者运动功能和认知能力的影响。方法纳入90例脑卒中偏瘫患者作为研究对象,随机分为观察组和对照组各45例。两组患者均接受常规药物治疗,对照组实施神经内科常规护理,观察组在此基础上给予超早期康复训练护理。治疗1、3个月后比较两组患者运动和认知功能。记录两组患者治疗3个月的总有效率。结果观察组患者随干预时间延长,FMA运动功能、FCA认知功能呈显著上升趋势,组内两两比较差异有统计学意义(P<0.05)。对照组随干预时间延长,FMA运动功能、FCA认知功能呈上升趋势,FMA运动功能组内两两比较差异有统计学意义(P<0.05),FCA认知功能干预后1个月与干预前比较差异无统计学意义(P>0.05),其他两两比较差异有统计学意义(P<0.05)。观察组干预后1、3个月FMA运动功能、FCA认知功能显著高于对照组(P<0.05)。两组治疗后3个月的总有效率分别为93.33%、73.33%,差异有统计学意义(P<0.05)。结论超早期康复训练护理不仅能显著改善脑卒中伴偏瘫患者运动功能,且可一定程度上促进认知功能的早期恢复,弥补目前药物治疗早期改善认知功能不明显的缺陷,具有一定临床应用价值。

Objective To explore the effect of ultra - early rehabilitation nursing on the movement function and cog-nitive ability of stroke patient with hemiparalysis. Methods Screened 90 cases of stroke patient with hemiparalysis as the re-search object, were randomly divided into observational group（n = 45） and control group （n = 4 5 ） . All the patients were given routine drug treatment, The control group received routine care of neurology, and the observational group were given ear-ly rehabilitation nursing, compared the movement function and cognitive ability of the 2 groups after 1 month and 3 month. Re-cord the total effective rate of two groups of patients after 3 months treatment. Results Observation group The observation group patients with intervention time extended, FMA motor function and FCA cognitive function showed a significant upward trend,pairwise comparison compared with statistical difference （ P 〈 0. 05 ） . The control group ： With the extension of treat-ment time, FMA motor function, cognitive function of FCA increased, FMA was statistically significant difference between the pairwise comparison motor function （ P 〈 0. 05 ） , the cognitive function of FCA intervention in January before and after the in-tervention had no significant difference （ P 〉 0. 05 ） , statistically significant difference （P 〈 0. 05 ） . Between group compari-son： The observation group after the intervention, in January and March, FMA motor function and FCA cognitive function were significantly higher than the control group （P 〈 0. 05 ） . The total effective rate of the observational group and control group are 93. 33% , 73. 33% respectively after 3 months treatment, the difference was statistically significant （P 〈 0. 05 ） . Conclusion ultra - early rehabilitation nursing can not only improve the movement function of stroke patients with hemiple-gia significantly, make up for deficiencies in the improvement of cognitive function in the early stages of drug therapy, and should be used widely.