摘要
目的探讨康复训练结合专项康复护理对降低脑卒中后遗症期小腿三头肌张力的疗效。方法选取收治的52例脑卒中后遗症期小腿三头肌张力增高的患者,随机数表法分为常规组和研究组,每组26例。常规组患者采用常规康复训练结合常规康复护理,研究组患者采用常规康复训练结合专项康复护理。比较两组患者的比目鱼肌和腓肠肌张力改变情况以及临床总有效率。结果治疗前两组患者的比目鱼肌和腓肠肌的张力评分比较,差异无统计学意义(P>0.05),治疗后,研究组患者的比目鱼肌张力评分较常规组降低且差异有统计学意义(P<0.05)。组内实施治疗前后相比较,研究组的比目鱼肌和腓肠肌的张力评分均比治疗前降低,差异有统计学意义(P<0.05);常规组的比目鱼肌张力评分较治疗前降低,差异有统计学意义(P<0.05)。研究组的比目鱼肌和腓肠肌的临床总有效率分别为96.15%,76.92%,均显著高于常规组的73.08%,65.38%,差异有统计学意义(P<0.05)。结论专项康复护理对脑卒中后遗症期小腿三头肌张力起到一定的改善作用,主要体现在比目鱼肌的张力改善较为明显。专项康复护理要明显优于常规的康复护理。
Objective To explore the effect of rehabilitation training combined with special rehabilitation nursing on reducing triceps calf muscle spasticity in patients of sequelae of stroke.Methods 52 patients with increased triceps calf muscle tension in sequelae of stroke were randomly divided into the routine group and the research group according to random number table,with 26 cases in each group.Routine rehabilitation training combined with routine rehabilitation nursing was used in the routine group,while routine rehabilitation training combined with special rehabilitation nursing was used in the research group.The changes of soleus and gastrocnemius muscle spasticity and the total effective rate were compared between the two groups.Results There was no significant difference in soleus and gastrocnemius muscle spasticity score between the two groups before treatment(P>0.05).After the treatment,the soleus muscle tension score of the research group was lower than that of the routine group and the difference was of statistical significance(P<0.05).The spasticity scores of soleus and gastrocnemius muscle tension in the research group were significantly lower than those before the treatment and the difference was of statistical significance(P<0.05).The spasticity scores of soleus and gastrocnemius muscle tension in the routine group were lower than those before the treatment and the difference was of statistical significance(P<0.05).The total clinical effective rates of soleus and gastrocnemius in the research group were 96.15%and 76.92%,respectively,which were significantly higher than those in the routine group(73.08%,65.38%respectively)(P<0.05).Conclusion Special rehabilitation nursing can improve the spasticity of triceps calf muscle in patients of Sequelae of stroke,which is mainly reflected in the improvement of soleus muscle spasticity.Special rehabilitation nursing is significantly better than routine rehabilitation nursing.
作者
李猛
刘文红
宋晶晶
李桂香
石晓明
王雅慧
沙丽曼
Li Meng;Liu Wenhong;Song Jingjing;Li Guixiang;Shi Xiaoming;Wang Yahui;Sha Liman
出处
《中国疗养医学》
2019年第12期1245-1250,共6页
Chinese Journal of Convalescent Medicine
关键词
康复训练
专项康复护理
脑卒中后遗症期
肌张力
小腿三头肌
Rehabilitation training
Special rehabilitation nursing
Sequelae of stroke
Spasticity
Triceps calf muscle
