大片腦梗死继发癫痫的康复护理及其功能预后分析.docVIP

大片脑梗死继发癫痫的康复护理及其功能预后分析 文章来源： 　　　　 2006-7-28 11:48:49 ? 大片脑梗死继发癫痫的康复护理及其功能预后分析 现代康复 2000年第10期第4卷 护理康复 作者：周敏玉　许俭兴　黄利荣 单位：中山医科大学孙逸仙纪念医院， 广东广州510120 　　关键词： 脑梗死；癫痫；功能预后；康复护理 　　摘要：目的探讨康复护理对大片脑梗死继发癫痫的作 用及继发癫痫对功能预后的影响。方法83例颈内动脉系统脑 动脉硬化性大片脑梗塞分为癫痫组27例和非癫痫组56例，比较 两组的心理状态、独自步行能力和自理能力，对癫痫组进行 康复护理，观察康复护理前后的SCL－90及Bathel指数的得分。结 果癫痫发生率高达32.5％，癫痫组的精神心理障碍较非癫痫 组明显增多(P＜0.05)，而独立步行能力和日常生活自理能力则明 显下降(P＜0.05)，经过康复护理，癫痫组的心理状态和自理能 力均有明显改善(P＜0.05)。结论继发癫痫对功能预后有明显影 响，康复护理对大片脑梗死继发癫痫患者功能恢复有积极意 义。 　　中图分类号：R743　文献标识码：A 　　文章编号：100 7－5496(2000)10－1490－02 Rehabilitation nursing　on epilepsy by large cerebral infarction and its outcome analysis ZHOU Ming　XU Jian　HUANG Li　Sun 　　（Yat） 　　Abstract:Objective To explore the effects of rehabilitatio nursing on epilepsy on functional to large cerebral infarction and to　observe influence of secondary epilepsy on functional outcome,Method Eighty　caused by cerebral arteriosclerosis within internal carotid artery were divided into two groups:27 cases in the group with　attack.To Compare psychological state,walking ability and ADL.The group with secondary epilepsy was given rehabilitation　nursing.The score of SCL－ 90 and Barthel Index were measured before and after rehabilitation nursing.Result The epileptic　incidence was as high as 32.5％ .Psychological problem in the group with secondary epilepsy was more(P＜ 0.05) than that in　the group without seconary epilepsy,meanwhile low ability in walking and ADL was also observed frequently in the as　group(P＜ 0.05),the psychological function and ADL of the group with secondary epilepsy evidently improved after 　　rehabilitation nursing.Conclusion The results indicated that secondary epilepsy had significant influence on outcome and　rehabilitation nursing can make obvious effects on recovery of function in epilepsy secondary to large cerebral infarction. 　　Key words： cerebral infarction;epilepsy;functional outcome;rehabilitation nursing 　　颈内动脉系统脑动脉硬化性大片脑梗塞是住院常见的康 复对象之一，其并发继发癫痫的发生率较高，近6年来，我们 对此种癫痫发作其功能预后的影响作了较系统的临床医护观察