张 敬

早期康复护理干预对脑梗死偏瘫患者肢体功能的影响分析

张 敬

【摘要】目的 探讨早期康复护理干预对脑梗死偏瘫患者肢体功能的影响作用。方法 选取我院收治的脑梗死偏瘫患者86例作为临床研究对象，随机分为观察组43例及对照组43例。两组患者均给予常规治疗及护理，观察组在此基础上给予早期康复护理干预，对比两组患者肢体运动功能情况。结果 干预后，观察组Fugl-Meyer评分为（60.21±7.13）分，对照组评分为（37.33±6.95）分，观察组Fugl-Meyer评分要高于对照组（P＜0.05）。结论 早期康复护理干预有利于促进脑梗死偏瘫患者肢体功能恢复。

【关键词】早期康复护理；脑梗死；偏瘫

Objective To investigate the effect of early rehabilitation nursing intervention on limb function of patients with hemiplegia after cerebral infarction. Methods 86 cases of cerebral infarction patients with hemiplegiain our hospital were selected and randomly divided into 43 cases of observational group and 43 cases of control group. Two groups of patients were given conventional treatment. On this basis，the observational group was given early rehabilitation nursing intervention，compared two groups of patients with body movement function. Results After intervention，the Fugl-Meyer scores of observational group were（60.21±7.13）points，and the control group were（37.33 ±6.95）points. The Fugl-Meyer scores of the observational group were significantly higher than that of the control group（P＜ 0.05）. Conclusion Early rehabilitation nursing intervention can promote the recovery of limb function in patients with hemiplegia after cerebral infarction.

【Key words】 Early rehabilitation nursing，Cerebral infarction，Hemiplegia

脑梗死偏瘫会导致患者高位中枢神经系统的调控功能受到影响，并造成肌体肌群协调功能紊乱，使得肌张力异常，从而形成运动障碍［1-2］。康复护理可促使中枢神经系统代偿及重组，有利于脑梗死偏瘫患者相关功能恢复。本研究中我院对收治的43例脑梗死偏瘫患者采取了早期康复护理干预，取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

将我院2014年3月～2015年3月收治的脑梗死偏瘫患者86例作为临床研究对象，并随机分为观察组43例及对照组43例。观察组中男25例，女18例，年龄为52～71岁，平均年龄为（62.3±5.4）岁，病程为1～5 d，平均病程为（2.7±0.8）d；对照组中男27例，女16例，年龄为55～69岁，平均年龄为（61.2±4.9）岁，病程为1～4 d，平均病程为（2.5±0.7）d。两组患者在性别、年龄、病程等方面比较差异无统计学意义（P＞0.05），具有可比性。

1.2 方法

对照组采取常规神经内科治疗、药物治疗及常规护理，包括健康指导、生命体征观察等。……