首页|整合医学诊疗护理模式联合早期下肢重复性训练应用于急性脑梗死患者康复的效果观察

整合医学诊疗护理模式联合早期下肢重复性训练应用于急性脑梗死患者康复的效果观察

扫码查看
目的 探讨整合医学诊疗护理模式联合早期下肢重复性训练应用于急性脑梗死(ACI)患者康复的效果.方法 选择 2020 年 8 月—2023 年9 月潍坊市人民医院神经内科收治的 84 例ACI患者为研究对象,按随机数字表法将其分为对照组和观察组,各42例.对照组采用常规护理,观察组采用整合医学诊疗护理模式联合早期下肢重复性训练.对比两组神经功能、神经因子、下肢功能、生活质量.结果 干预后,观察组美国国立卫生研究院卒中量表评分低于对照组,差异有统计学意义(P<0.05).干预后,观察组脑源性神经营养因子、神经生长因子、Fugl-Meyer下肢运动功能量表及脑卒中专用生存质量表评分均高于对照组,神经元特异性烯醇化物低于对照组,组间差异有统计学意义(P<0.05).结论 整合医学诊疗护理模式联合早期下肢重复性训练应用于ACI患者康复中,有助于患者神经及下肢功能的恢复,调节神经因子水平,提高生活质量.
Observation Effect of Integrated Medical Treatment and Nursing Model Combined with Early Repetitive Training of Lower Limbs on Rehabilition of Acute Cerebral Infarction Patients
Objective To investigate the effect of integrated medical treatment and nursing model combined with early repetitive training of lower limbs on acute cerebral infarction(ACI)patients rehabilitation.Methods A total of 84 ACI patients admitted to the Department of Neurology,Weifang People's Hospital from August 2020 to September 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received routine nursing,while the observation group received integrated medical treatment and nursing mode combined with early repetitive training of lower limbs.The nerve function,nerve factor,lower limb function and quality of life between the two groups were compared.Results After intervention,the score of the National Institutes of Health Stroke Scale in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After intervention,the brain-derived neurotrophic factor,nerve growth factor,the scores of Fugl-Meyer lower limb Motor function scale and stroke special quality of life table in the observation group were higher than those in the control group,and neuron-specific enolate was lower than that in the control group,with statistical significance between the two groups(P<0.05).Conclusion The application of integrated medical diagnosis,treatment and nursing mode combined with early repetitive training of lower limbs in ACI patients rehabilitation can help patients recover nerve and lower limb function,adjust the level of neurofactors and improve the quality of life.

Acute cerebral infarctionIntegrated medical treatment and nursing modelEarly repetitive lower limb trainingNeurological functionLower limb functionQuality of life

王玉

展开 >

潍坊市人民医院神经内科,山东潍坊 261041

急性脑梗死 整合医学诊疗护理模式 早期下肢重复性训练 神经功能 下肢功能 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)