首页|早期肢体康复训练应用在高血压脑出血偏瘫患者康复中的价值分析

早期肢体康复训练应用在高血压脑出血偏瘫患者康复中的价值分析

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目的:探析高血压脑出血偏瘫患者采取早期肢体康复训练对康复效果的影响.方法:选取2021年9月—2022年12月天津市宝坻区人民医院收治的高血压脑出血偏瘫患者60例作为研究对象,参照随机数表法分为两组,每组各30例.对照组患者实施传统干预,观察组患者实施早期肢体康复训练.比较两组患者干预前后神经功能缺损评分、Barthel指数、FMA评分及护理满意评分.结果:干预后,观察组患者美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,差异有统计学意义(t=6.183,P<0.05),干预后,观察组患者巴氏指数(Barthel)、Fugl-meyer量表(FMA)评分高于对照组,差异有统计学意义(t=12.236、11.919,P<0.05),观察组患者护理满意度评分包括护理态度、护理安全、护理技能、护理水平高于对照组,差异有统计学意义(t=11.023、12.958、9.522、10.693,P<0.05).结论:早期肢体康复训练可改善高血压脑出血偏瘫患者肢体功能及日常生活能力,患者的神经功能缺损情况得到明显改善,患者对护理服务高度满意,利于患者病情康复.
Value Analysis of Early Limb Rehabilitation Training in Rehabilitation of Hypertensive Cerebral Hemorrhage Patients with Hemiplegia
Objective:To explore the effect of early limb rehabilitation training on the rehabilitation of hypertensive cerebral hemorrhage patients with hemiplegia.Methods:60 patients with hypertensive cerebral hemorrhage and hemiplegia admitted to the hospital from September 2021 to December 2022 were selected to cooperate with the study and divided into 2 groups with 30 cases in each group according to random number table method.The control group received traditional intervention,and the observation group received early physical rehabilitation training.Neurological impairment score,Barthel index,FMA score and nursing satisfaction score were compared between the two groups before and after intervention.Results:After intervention,the National Institutes of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the difference was statistically significant(t=6.183,P<0.05).After intervention,Barthel index(68.65±5.35)and FMA score in the observation group were higher than those in the control group,and the difference was statistically significant(t=12.236,11.919;P<0.05).Nursing satisfaction scores of the observation group,including nursing attitude,nursing safety,nursing skills,nursing level were higher than those of the control group,and the difference was statistically significant(t=11.023,12.958,9.522,10.693;P<0.05).Conclusion:Early Limb rehabilitation training can improve the limb function and daily life ability of hypertensive cerebral hemorrhage patients with hemiplegia,promote patients'neurological function impairment,and improve patients'satisfaction of nursing service.

Hypertensive cerebral hemorrhageHemiplegiaEarly physical rehabilitation trainingNeurological impairmentBarthel index

蔡畅、王梦露、肖中兴

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天津市宝坻区人民医院康复医学科,天津 301800

高血压脑出血 偏瘫 早期肢体康复训练 神经功能缺损 巴氏指数

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(6)
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