病房康复延伸护理对脑卒中迟缓性偏瘫患者三维步态时空参数的影响

Effect of ward rehabilitation extended nursing on three-dimensional gait space-time parameters of stroke patients with delayed hemiplegia

目的:观察病房康复延伸护理对脑卒中迟缓性偏瘫患者三维步态时空参数的影响。方法:将60例脑卒中迟缓性偏瘫患者随机分为常规护理组(A组,n=30)、病房康复延伸护理组(B组,n=30)两组,予以相应的方法治疗8周,评估治疗前后两组患者三维步态时空参数。结果:与治疗前相比,治疗后两组患者的步长、步幅、步速、步频、支撑相、双支撑相等参数及B组摆动相均有不同程度的改善(P<0.05);A组摆动相和步宽及B组步宽的变化差异无统计学意义(P>0.05)。与治疗后A组比较,治疗后B组的步长、步幅、步速、步频、支撑相、双支撑相等参数改善较为明显(P<0.05),步宽和摆动相的改善差异无统计学意义(P>0.05)。结论:病房康复延伸护理能改善脑卒中迟缓性偏瘫患者三维步态时空参数,具有临床意义。

Objective:To observe the effect of extended rehabilitation nursing on three-dimensional gait parameters of stroke patients with delayed hemiplegia.Methods:60 cases of stroke patients with delayed hemiplegia were randomly divided into two groups:routine nursing group(group A,n=30)and ward rehabilitation extended nursing treatment group(group B,n=30),the patients were treated with corresponding methods for 8 weeks.The three-dimensional gait space-time parameters of each group were evaluated before and after treatment.Result:Compared with the group before treatment,the parameters of step length,stride length,stride speed,stride frequency,support phase and double support in group A were improved after treatment(P<0.05),and the parameters of step length,stride length,stride speed,stride frequency,support phase,swing phase and double support in group B were improved(P<0.01);The swing phase and step width in group A and step width in group B were not statistically significant(P>0.05).Compared with group A after treatment,the parameters of step length,stride length,step speed,step frequency,support phase and double support in group B after treatment were improved in varying degrees,which were statistically significant(P<0.05),while the step width and swing phase were not statistically significant(P>0.05).Conclusion:Extended rehabilitation nursing in ward can improve the three-dimensional gait parameters of patients with delayed hemiplegia after stroke,which has clinical significance.