卒中单元内个体化康复训练对脑卒中患者康复效果观察.pdfVIP

现代临床护理(Modern Clinical Nursing)2008．7(2) 45 卒中单元内个体化康复训练对脑卒中患者康复效果观察 刘杏仙，梁琼好，秦秀英 (江门市人民医院，广东江f-I，529031) [摘要] 目的 观察卒中单元内个体化康复训练对急性脑卒中的康复效果。方法 将 106例急性脑卒中患者随机分 为实验组与对照组各53例，对照组给予常规治疗及护理，实验组在常规药物治疗护理基础上给予卒中单元内个体化康复 训练，比较两组患者的ADL(日常生活活动能力)、NIHSS(卒中量表)评分及各种并发症的发生率。结果 治疗后实验组 ADL、NIHSS评分明显优于对照组(均P0．05)；泌尿系感染、肩手综合征、抑郁症、下肢屈曲痉挛等并发症发生率较对照组 低(均P0．05)。结论 卒中单元内个体化康复训练可改善患者ADL，提高患者肢体、语言、认知功能等方面的能力，明显减 少脑卒中并发症．提高患者的生存质量。 [关键词] 卒中单元；脑卒中；管理 [中图分类号] R473．74 【文献标识码] B [文章编号] 1671—8283(2008)02-0045-04 [Abstract] 0bjeetlve To investigate the rehabilitation efficacy of individualized rehabilitation training on stroke patients． Method 1 06 patients with acute stroke were randomly divided into the observation group(n=53)and the control group(n=53)．The control group received the routine treatment and nursing,while the observation group received t individualized rehabilitation training in the stroke unit besides routine nursing．Two groups were compared with ADL and NIHSS before and after treatment and nursing,and the complication rates of two groups were also recorded． Results The scores in ADL and NIHSS in the observation group was higher than those of control group(尸0．05)．The complication rate of observation group was smaller than that of the control group(P0．05)． Conclusion Th e individualized rehabilitation training can improve their activity ability at daily life and improve other abilities at limbs， language，cognition function as wel1．It Can reduce complication rate of stroke obviously and increase their ability for daily life． [Key words]stroke unit；stroke；management 卒中单 (Stroke Unit)是指在医院的一定区域 合第四届全国脑血管病会议制定的诊断标准[21，并经 内。一个针对脑卒中患者的、具有诊疗规范和明确治 头颅CT和或MRI确诊。随机将患者分为两组。卒 疗目标的多学科专业人员讨论治疗和护理的医疗 中单元护理组即实验组53例，男28例。女25例， 综合体。它不是一种具体的疗法。而是一种针对卒中 年龄29