但丽娟

【摘 要】目的：分析良肢位摆放在脑损伤性偏瘫患者康复治疗中的应用价值。方法：将80例脑损伤性偏瘫患者随机分为两组，对照组38例行常规治疗与常规护理，观察组42例在对照组基础上，于生命体征平稳后48h内，摆放为良肢位，比较两组恢复情况。结果：两组治疗前Fugl-Meyer评分、Barhel指数组间差异不显著（P>0.05），治疗后1个月，观察组两项指标评分均明显高于对照组（P<0.05），护理满意度明显高于对照组（P<0.05）。结论：在脑损伤性偏瘫患者康复治疗中实施良肢位摆放，可有效增强患者运动能力，改善患者日常生活活动能力，且可提高患者护理满意度。

【关键词】脑损伤性偏瘫；康复治疗；良肢位摆放；运动能力

Abstract Objective：to analyze the application value of good limb placement in rehabilitation treatment of cerebral injury hemiplegia. Methods： 80 cases of cerebral injury hemiplegia were randomly divided into two groups， the control group （38 cases） received routine treatment and routine nursing. On the basis of the control group， 42 patients in the observation group were placed in good limb position within 48 hours after stable vital signs. Results： there was no significant difference in Fugl-Meyer score and Barhel index between the two groups before treatment （P > 0.05）， and one month after treatment， there was no significant difference between the two groups. The scores of two indexes in the observation group were significantly higher than those in the control group （P< 0.05）， and the nursing satisfaction was significantly higher than that in the control group （P< 0.05）. Conclusion： the implementation of good limb placement in the rehabilitation treatment of hemiplegic patients with brain injury can effectively enhance the motor ability of the patients. Improve the activity of daily life of patients， and can improve patients' satisfaction with nursing.

Key words： Brain injury hemiplegia； rehabilitation treatment； good limb placement； motor ability

【中图分类号】 R249【文献标识码】 B 【文章编号】 1672-3783（2018）04-03-044-01

脑卒中、脑出血、急性颅脑损伤等起病急促且病情比较凶险，统计[1]显示死亡率为30%～40%左右。目前医院医疗水平的提高使得多数脑损伤患者因及时救治而得到了挽救，然而脑损伤后遗留的后遗症对患者康复造成了较大影响[2]。已有研究[3]显示，脑卒中、脑出血、急性颅脑损伤等为脑损伤性偏瘫主要致病原因，在对患者实施康复训练期间，应通过瘫痪肢体被动运动训练，促使肢体功能尽可能恢复。近年来，我院在临床实践中发现，在为脑损伤性瘫痪患者康复治疗期间，采取良肢位有助于预防痉挛姿势的发生。为论证良肢位对脑损伤性瘫痪患者肢体功能康复情况的影响，笔者选取80例患者，以临床随机分组对照研究方式，对良肢位的应用价值展开分析，现报道如下。

1 资料与方法

1.1 临床资料 选取我科2016年2月至2017年10月收治的80例脑损伤性偏瘫患者，获取医院伦理委员会批准、患者签署知情同意书后，以抛硬币法将之随机分为两组。对……