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早期康复护理对急性脑梗死偏瘫患者神经功能恢复的影响分析

Analysis of the Effect of Early Rehabilitation Nursing on the Recovery of Nerve Function in Hemiplegic Patients with Acute Cerebral Infarction

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【作者】 董来芹陈广敏

【Author】 DONG Laiqin;CHEN Guangmin;Department of Rehabilitation Medicine, Qingzhou Hospital of Traditional Chinese Medicine;Office of the Dean, Qingzhou Hospital of Traditional Chinese Medicine;

【通讯作者】 陈广敏;

【机构】 山东省青州市中医院康复医学科山东省青州市中医院院长办公室

【摘要】 目的分析在急性脑梗死偏瘫患者治疗过程中应用早期康复治疗对于患者神经功能恢复效果所造成的影响。方法在2017年1月—2019年1月期间医院收治的急性脑梗死偏瘫患者中选取100例作为研究对象,将其随机分为两组,每组50例,其中,对照组患者使用常规治疗模式进行治疗,研究组患者使用早期康复治疗模式进行干预,对两组患者神经功能恢复的效果进行记录与分析。结果护理前,研究组与对照组Barthel(BI)指数分别为(34.64±3.22)分和(35.55±3.07)分,差异无统计学意义(t=1.446,P=0.151),治疗后,上述数据分别为(70.41±2.15)分和(55.18±5.78)分,差异有统计学意义(t=17.463,P<0.05);护理前,研究组与对照组神经功能缺损(NIHSS)评分分别为(24.15±2.87)分和(25.35±3.58)分,差异无统计学意义(t=1.849,P=0.067),治疗后,上述数据分别为(10.12±1.86)分和(15.81±1.82)分,差异有统计学意义(t=15.461,P<0.001)。结论在急性脑梗死偏瘫患者治疗过程中,通过早期康复治疗工作的合理开展,有利于患者神经功能的合理恢复,对于患者治疗效果的优化具有积极价值。

【Abstract】 Objective To analyze the effect of early rehabilitation therapy on the recovery of neurological function in patients with acute cerebral infarction and hemiplegia. Methods A total of 100 patients with acute cerebral infarction and hemiplegia admitted to the hospital from January 2017 to January 2019 were selected as the research object, and they were randomly divided into two groups with 50 cases in each group. Among them, the control group used conventional treatment mode for treatment, patients in the study group used early rehabilitation therapy to intervene,and the effects of neurological recovery of the two groups of patients were recorded and analyzed. Results Before nursing, the barthel(BI) index of the study group and the control group were(34.64±3.22)points and(35.55±3.07)points respectively, and the difference was not statistically significant(t=1.446, P=0.151). After treatment, the above data were(70.41 ±2.15)points and(55.18 ±5.78) points, the difference was statistically significant(t =17.463, P <0.05); before nursing, the national institute of health stroke scale(NIHSS) scores of the study group and the control group were(24.15 ±2.87)points and(25.35 ±3.58) points, the difference was not statistically significant(t=1.849, P=0.067), after treatment, the above data were(10.12±1.86) points and(15.81±1.82) points, the difference was statistically significant(t=15.461, P<0.001). Conclusion In the treatment process of patients with acute cerebral infarction and hemiplegia, the reasonable development of early rehabilitation treatment is conducive to the reasonable recovery of the patient’s neurological function and is of positive value for the optimization of the patient’s treatment effect.

  • 【分类号】R473.74
  • 【被引频次】2
  • 【下载频次】98
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