良姿体位护理对缺血性脑卒中患者后期肌痉挛及平衡功能预后的影响

Effect of Good Postural Nursing on Prognosis of Muscle Spasm and Balance Function in Patients with Ischemic Stroke at Later Phase

目的探讨良姿体位护理对缺血性脑卒中患者后期肌痉挛及平衡功能预后的影响。方法选取我院2013年1月至2015年12月收治的首次发病的54例缺血性脑卒中患者,随机平均分为治疗组和对照组。对照组仅接受综合康复治疗,治疗组在对照组基础上接受早期良姿体位护理。比较两组患者入院48 h后和治疗3个月后的NIHSS评分、m RS评分、CSS评分和FMAB评分。结果治疗3个月后,治疗组的NIHSS评分、m RS评分和FMA-B评分均高于对照组,CSS评分低于对照组,差异均有统计学意义(P<0.05)。结论早期良姿体位护理结合综合康复治疗可预防和减少缺血性脑卒中患者后期肌痉挛,促进其平衡功能的恢复,具有较高的临床价值。

Objective To explore the effect of good postural nursing on prognosis of muscle spasm and balance fimction in patients with ischemic stroke at later phase. Methods 54 cases of patients with first onset ofischemic stroke admitted to our hospital from January 2013 to December 2015 were selected and randomly divided into treatment group and control group equally. The control group only received comprehensive rehabilitation treatment, while the treatment group received early good postural nursing on the basis of the control group. The NIHSS scores, mRS scores, CSS scores and FMA-B scores at 48 hours after admission and 3 months after treatment were compared between two groups. Results 3 months after treatment, the NIHSS score, mRS score and FMA-B score of treatment group were higher than those of control group, the CSS score was lower than that of control group, with statistical differences （P 〈0.05）. Conclusions Early good postural nursing combined with comprehensive rehabilitation treatment can prevent and reduce the muscle spasm of patients with isehemic stroke at later phase, and promote the recovery of balance fimction, which has higher clinical value.