早期系统化康复护理在急性脑梗死伴偏瘫患者中应用效果.docVIP

早期系统化康复护理在急性脑梗死伴偏瘫患者中应用效果 　　[摘要]目的 探讨早期系统化康复护理在急性脑梗死伴偏瘫患者中的应用效果。方法 我院2015年12月～2016年12月我院收治的64例急性脑梗死伴偏瘫患者作为研究对象，根据护理方法不同将患者分为两组。对照组33例患者行常规护理；观察组31例患者行早期系统化康复护理。运用Berg平衡量表（BBS）、Holden步行功能分级（Holden FAC）对两组患者的平衡功能、步行能力进行评定，并评估治疗后的生活质量。结果 治疗后，两组患者的BBS量表、Holden FAC评分均明显高于治疗前，差异有统计学意义（P0.05），且观察组患者的上述评分均明显高于对照组，差异有统计学意义（P0.05）；观察组患者SF-36量表中一般健康状况、精力、躯体疼痛、生理职能、生理机能评分高于对照组，差异有统计学意义（P0.05）。结论 针对急性脑梗死伴偏瘫患者，通过开展早期系统化康复护理，能显著改善机体功能，加速康复，提升总体生活质量，值得临床应用。 　　[关键词]急性脑梗死；偏瘫；早期系统化康复护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0160-03 　　[Abstract]Objective To explore the effect of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemiplegia.Methods 64 cases of acute cerebral infarction patients complicated with hemiplegia treated in our hospital from December 2015 to December 2016 were selected as the subjects，and divided into two groups according to the nursing methods.The control group （33 cases） received routine nursing care and the observation group （31 cases） received early systematic rehabilitation nursing.The Berg balance scale （BBS） and Holden Functional Ambulation Category （Holden FAC） were used to assess the balance function and walking ability of the two groups，and the postoperative quality of life was also evaluated.Results The postoperative BBS scale and Holden FAC scores of two groups were significantly higher than those before treatment，the difference was statistically significant （P0.05）.The scores of the observation group were significantly higher than those of the control group，the difference was statistically significant （P0.05）.The MOS 36-Item Short-Form Health Survey （SF-36） scores of observation group were higher in general health，energy，physical pain，physical function and physiological role than those in the control group，the difference was statistically significant （P0.05）.Conclusion Application of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemipleg