早期康复训练对脑卒中偏瘫患者肢体功能的影响

Effect of early rehabilitation training on limb function in patients with stroke and hemiplegia

目的探讨早期康复训练对脑卒中偏瘫患者肢体功能的影响。方法83例脑卒中偏瘫患者,依据随机数字表法分为研究组(42例)与对照组(41例)。两组患者均给予对症治疗,在此基础上,对照组在生命体征稳定后2周进行康复训练,研究组则在生命体征稳定后进行早期康复训练。比较两组患者干预前后简式Fugl-Meyer运动功能评价量表(FMA)、日常生活能力评定量表(BI)评分,干预效果,自身康复满意度。结果干预前,两组患者FMA、BI评分比较差异无统计学意义(P>0.05);干预后,两组患者FMA、BI评分均明显高于干预前,且研究组患者FMA、BI评分均显著高于对照组,差异有统计学意义(P<0.05)。研究组患者干预后总有效率95.24%明显高于对照组的80.49%,差异具有统计学意义(P<0.05)。研究组患者自身康复满意度97.62%显著高于对照组的85.37%,差异有统计学意义(P<0.05)。结论对于脑卒中偏瘫患者,予以早期康复训练可促进患者肢体功能的康复,提高患者对护理工作的满意度,值得推广。

Objective To discuss the effect of early rehabilitation training on limb function in patients with stroke and hemiplegia.Methods A total of 83 patients with stroke and hemiplegia were divided into research group(42 cases)and control group(41 cases)according to random numerical table.Both groups received symptomatic therapy,on this basis,the control group received rehabilitation training 2 weeks after the stability of vital signs,and the research group received early rehabilitation training after the stability of vital signs.The Fugl-Meyer assessment(FMA),Barthel index(BI)score before and after intervention,intervention effect and self rehabilitation satisfaction were compared between the two groups.Results Before intervention,there was no statistically significant difference in FMA and BI score between the two groups(P>0.05).After intervention,the FMA and BI score of the two groups were obviously higher than those before intervention,and the research group was significantly higher than the control group.All the difference was statistically significant(P<0.05).After intervention,the total effective rate of the research group was 95.24%,which was obviously higher than 80.49%of the control group,and the difference was statistically significant(P<0.05).The self rehabilitation satisfaction rate 97.62%of the research group was significantly higher than 85.37%of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with stroke and hemiplegia,early rehabilitation training can promote the rehabilitation of patients’limb function and improve patients’satisfaction with nursing work,which is worthy of promotion.