早期康复护理配合神经肌肉本体感觉促进(PNF)技术对脑卒中后下肢运动功能的影响

Effect of Early Rehabilitation Nursing and PNF Technology on the Lower Limb Motor Function after Stroke

目的分析早期康复护理配合神经肌肉本体感觉促进(PN F)技术对脑卒中后下肢运动功能的影响。方法随机选择2015年5月—2017年2月60例脑卒中患者并随机分组。A组30例患者采用常规的康复护理方法,B组30例患者采用早期康复护理配合神经肌肉本体感觉促进(PNF)技术。比较两组脑卒中康复效果;遵医康复锻炼评分、汉密尔顿抑郁量表评分;干预前后患者FMA下肢运动功能评分、神经功能缺损情况、ADL生活能力评分。结果 B组脑卒中康复效果高于A组(P<0.05)。其中,A组显效有12例,有效10例,无效有8例,总有效率73.33%;B组显效有23例,有效6例,无效有1例,总有效率96.67%;B组遵医康复锻炼评分、汉密尔顿抑郁量表评分分别为(94.39±3.13)分和(9.39±1.57)分,优于A组(78.51±2.41)分和(18.57±2.56)分(P<0.05)。干预前两组FMA下肢运动功能评分、神经功能缺损情况、ADL生活能力评分相近,A组FMA下肢运动功能评分、神经功能缺损评分、ADL生活能力评分分别为65.13±10.15分、(34.81±5.47)分、(25.68±2.21)分;B组分别为(65.25±10.12)分、(34.14±5.14)分和(25.14±2.13分)(P>0.05);出院时B组FMA下肢运动功能评分、神经功能缺损情况、ADL生活能力评分(85.12±13.21)分、(75.34±7.25)分、(10.24±1.55)分优于A组(78.92±11.32)分、(57.24±6.21)分、(14.62±1.91)分(P<0.05)。结论早期康复护理配合神经肌肉本体感觉促进(PNF)技术可有效改善脑卒中后下肢运动功能,减轻神经功能缺损,患者依从性高且抑郁情绪减轻,生活能力提升,值得推广。

Objective To analyze the effect of early rehabilitation nursing and PNF technology on the lower limb motor function after stroke. Methods 60 cases of stroke patients admitted and treated in our hospital from May 2015 to February2017 were randomly selected and divided into two groups with 30 cases in each, the group A and group B respectively adopted the routine recovery method and early rehabilitation nursing and PNF technology, and the recovery effect, exercise score, HAMA depression score of the two groups were compared and the FMA lower limb motor function score, nerve function defect situation and ADL living ability score of the two groups before and after intervention were compared between the two groups. Results The rehabilitation effect of stroke in the group B was higher than that in the group A(P<0.05), and in the group A, 12 cases were markedly effective, 10 cases were effective, 8 cases were ineffective and the total effective rate was 73.33%, in the group B, 23 cases were markedly effective, 6 cases were effective, 1 case was ineffective and the total effective rate was 96.67%, and the exercise score, HAMA depression scale score in the group B were better than those in the group A [(94.39 ±3.13)points,(9.39 ±1.57)points vs(78.51 ±2.41)points,(18.57 ±2.56)points](P <0.05), and the FMA lower limb motor function score, nerve function defection situation and ADL living ability score before intervention of the two groups were similar, which were respectively(65.13±10.15)points,(4.81±5.47)points,(5.68±2.21)points and(65.25±10.12)points,(4.14±5.14)points,(14±2.13)points in the group A and group B(P>0.05), at discharge, the FMA lower limb motor function score, nerve function defection situation and ADL living ability score in the group B were better than those in the group A, [(85.12±13.21)points,(5.34±7.25)points,(0.24±1.55)points vs(78.92 ±11.32)points,(7.24 ±6.21)points,(4.62±1.91)points](P<0.05). Conclusion The early rehabilitation nursing and PNF technology can effectively improve the lower limb motor function after stroke, relive the nerve function defect with high compliance and small depression emotion,and it is worth promotion.