综合肺康复方案对急性缺血性脑卒中重度偏瘫患者疲劳及运动功能的影响
Effects of comprehensive pulmonary rehabilitation program on fatigue and mo-tor function in patients with acute ischemic stroke and severe hemiplegia
陆秋芳 1应燕萍 2马娟 2黄安石 2覃艳勤1
作者信息
- 1. 广西医科大学第一附属医院,神经内科,广西南宁 530021
- 2. 广西医科大学第一附属医院,护理部,广西南宁 530021
- 折叠
摘要
目的 探讨综合肺康复方案对急性期缺血性脑卒中重度偏瘫患者卒中后疲乏、运动功能及肺炎发生率的影响.方法 选取2020 年6 月至2022 年6 月在某三级综合甲等医院神经内科住院的151 例急性期缺血性脑卒中重度偏瘫患者作为研究对象,其中以2020 年6 月至2021 年6 月符合入选标准的78 例患者作为对照组,以2021 年7 月至2022 年6 月符合入选标准的73 例患者作为试验组.对照组实施常规治疗和护理,试验组在常规治疗和护理基础上实施综合肺康复方案,两组患者均在实施干预前后采用疲劳严重程度量表(FSS)进行评定患者的疲乏程度、Fugl-Meyer评定量表(FMA)评价患者运动功能,并比较两组患者的肺炎发生率.结果 两组患者的疲劳严重程度评分均较干预前降低,试验组的评分明显低于对照组,差异均有统计学意义(均P<0.05).两组患者的FMA评分均较治疗前有提高,试验组的得分明显高于对照组,差异均有统计学意义(均P<0.05).对照组的肺炎发生率为21.79%(17/78),试验组的肺炎发生率为8.22%(6/73),组间比较差异有统计学意义(χ2 =5.382,P =0.020).结论 实施综合肺康复方案可降低卒中后疲劳程度,提高患者运动功能,减少肺炎发生率,值得临床应用.
Abstract
Objective To investigate the effect of comprehensive lung rehabilitation program on the incidence of pneumonia,post-stroke fatigue and motor function in patients with severe hemiplegia after acute ischemic stroke.Methods 151 patients with severe hemiplegia after acute ischemic stroke were selected as the research objects from June 2020 to June 2022.78 subjects were selected im-plemented routine treatment and nursing as the control group from June 2020 to June 2021.73patients were selected implemented com-prehensive lung rehabilitation program from July 2021 to June 2022 as the experimental group.Before and after the implementation,the fatigue severity scale(FSS)was used to evaluate the fatigue degree of patients,and the Fugl Meyer assessment(FMA)was used to e-valuate the motor function of patients,and the incidence of pneumonia in the two groups was compared.Results The scores of fa-tigue severity in the control group and the test group decreased,and the scores in the test group were significantly lower than those in the control group(t =2.973,P =0.008);the FMA scores of the control group and the test group were improved,and the scores of the test group were significantly higher than those of the control group(t =2.668,P =0.05).The incidence of pneumonia in the control group was 21.79%(17/78)and that in the experimental group was 8.22%(6/73).There was significant difference in the incidence of pneumonia between the two groups(χ2 =5.382,P =0.020).Conclusion The implementation of comprehensive lung rehabilitation program can reduce the incidence of pneumonia in patients with severe hemiplegia after acute ischemic stroke,reduce the degree of post-stroke fatigue,and improve the motor function of patients.It is worthy of clinical application and benefit more patients.
关键词
肺康复/缺血性脑卒中/偏瘫/疲劳/运动功能Key words
Pulmonary rehabilitation/Acute ischemic stroke/Hemiplegia/Fatigue/Motor function引用本文复制引用
基金项目
广西卫生计生委项目(2018)(Z20180974)
出版年
2024
NETL
NSTL
维普
万方数据