邱青青+蔡珍芝+温金凤+胡晓红

[摘要]目的 探讨良肢位摆放早期康复护理在脑卒中偏瘫患者中的应用效果。方法 选取我院2015年10月～2016年10月收治的40例脑卒中偏瘫患者，分为观察组和对照组，每组20例。对照组仅进行常规治疗及常规护理；观察组在常规治疗和护理的基础上，患者入院时即采取良肢位设计与摆放。比较两组患者的治疗效果、护理满意度。结果 护理后，两组的日常生活活动能力评分均明显高于护理前，且观察组明显高于对照组，差异均有统计学意义（P<0.01）。护理后，两组患者患侧肢体运动能力评分明显高于护理前，且观察组明显高于对照组，差异均有统计学意义（P<0.01）。观察组的护理满意率为97.50%，明显高于对照组的85.00%，差异有统计学意义（P<0.05）。结论 脑卒中偏瘫患者早期康复护理中应用良肢位摆放可以提高患者的护理效果以及护理满意度。

[关键词]良肢位摆放；脑卒中偏瘫；早期康复护理

[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2017）01（c）-0188-03

[Abstract]Objective To explore the application effect of placement of good limb position in early rehabilitation in patients with hemiplegia due to cerebral apoplexy.Methods Forty patients with hemiplegia due to cerebral apoplexy from October 2015 to October 2016 in our hospital were selected and divided into observation group （n=20） and control group （n=20）.In the control group，conventional treatment and nursing was used，while on the basis of the conventional treatment and nursing，good limb position design and placement was adopted on admission to the hospital in the observation group.The therapeutic effect，nursing satisfaction degree between the two groups were compared.Results After nursing，the score of daily life activity in both groups was obviously higher than that before nursing，and the score in the observation group was higher than that in the control group with statistical difference （P<0.01）.After nursing，the score of affected limb movement ability was both significantly higher than that before nursing.The score in the observation group was higher than that in the control group with statistical difference （P<0.01）.The nursing satisfaction rate in the observation group （97.50%） was greatly higher than that in the control group （85.00%） which was displayed great difference （P<0.05）.Conclusion The application of good limb placement in early rehabilitation of patients with hemiplegia due to cerebral apoplexy can improve the nursing effect and nursing satisfaction degree.

[Key words]Placement of good limb position；Emiplegia due to cerebral apoplexy；Early rehabilitation nursing

脑卒中是一种急性脑血管疾病，因血液循环障碍而引发，其发病率呈逐年上升趋势，且脑卒中后有50%～70%的患者会出现偏瘫、共济失调、口角歪斜以及猝然晕倒等后遗症，严重时甚至会猝死[1-2]。有研究表明，早期康复护理有利于脑卒中偏瘫患者肢体功能的恢复，降低致残率以及提高患者的生活质量，而良肢位摆放能够有效防止痉挛的发生，保护患者的患侧肢体及关节功能、肌肉功能，预防肌肉发生功能障碍，在最大程度上恢复患者的肢体功能及生活能力[3]。本研究旨在探讨良肢位摆放早期康复护理在脑卒中偏瘫患者中的应用效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年10月～2016年10月收治的40例脑卒中偏瘫患者，分为观察组和对照组。其中，观察组20例，男11例，女9例；年龄42～78岁，平均（55.8±3.2）岁；疾病类型：脑出血7例，脑梗死10例，混合性脑卒中3例。……