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早期肢体康复训练对脑出血后偏瘫患者的影响 被引量:4

Influence of early extremity rehabilitation training on post-stroke hemiplegic patients
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摘要 目的观察早期肢体康复训练对脑出血后偏瘫患者运动功能、神经功能及生活自理能力的影响。方法选取2016年1月—2017年2月收治的300例脑出血患者为研究对象,根据随机数字表法分为观察组和对照组,各150例。对照组给予常规护理,观察组在对照组基础上行早期肢体康复训练。于干预前及干预1个月后评估患者运动功能(Fugl-Meyer评分)、神经功能(NICHSS评分)、生活自理能力(ECSA评分)、日常活动能力(MBI评分)、生存质量改善情况(SS-QOL评分)。计量资料比较采用t检验,计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果干预1个月后,两组NHISS评分均较干预前降低,Fugl-Meyer、ECSA、MBI和SS-QOL评分则均较干预前升高,且观察组变化幅度大于对照组(均P<0.05)。结论早期肢体康复训练可改善脑出血后偏瘫患者运动功能、神经功能、生活自理能力、活动能力和生存质量,利于患者疾病恢复。 Objective To investigate the influence of early extremity rehabilitation training on motor function, neurological function, self-help ability in post-stroke hemiplegic patients.Methods A total of 300 cases with intracerebral hemorrhage collected from January 2016 to February 2017 were divided into observation group and control group, 150 cases in each group. The control group was given regular nursing, the observation group was given early extremity rehabilitation training on basis of the control group. Before intervention and 1 month after intervention, motor function, neurological function,self-help ability, daily living activity and life quality improvement between the two groups were evaluated. Measurement data were compared by t test and enumeration data were compared by χ^2 test,P〈0.05 was considered statistically significant.Results NHISS scores of the two groups were declined 1 month after intervention, while scores of Fugl-Meyer, ECSA, MBI and SS-QOL were increased(P〈0.05).Difference between the two groups was statistically significant(all P〈0.05).Conclusion Early extremity rehabilitation training can help improve motor function, neurological function, self-help ability, activity of daily living and quality of life, it is benefit for recovery of patients.
作者 商艳玲 SHANG Yah-ling(Neurosurgery Department, People's Hospital of Anyang City, Anyang, Henan, 455000 Chin)
出处 《社区医学杂志》 2018年第3期20-22,共3页 Journal Of Community Medicine
关键词 脑出血后偏瘫 早期肢体康复训练 运动功能 神经功能 生活自理能力 Early extremity rehabilitation training Post-stroke hemiplegie patients Motor function Neurological function Self-help ability
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