陈健蒲

[摘要]目的 探讨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2017年5月～2018年5月收治的50例脑卒中偏瘫患者作为研究对象，按照护理方法的不同分为实验组（25例）和对照组（25例）。对照组采用传统护理，实验组采用传统护理联合早期康复护理。比较两组的巴塞尔（Barthel）指数、Braden压疮风险评分。结果 护理后，实验组的Barthel指数高于对照组，Braden压疮风险评分低于对照组，差异均有统计学意义（P<0.05）。 结论 对脑卒中偏瘫患者实施早期康复护理，可明显缓解消极情绪，提高肢体功能和生活能力。

[关键词]早期康复护理;脑卒中;偏瘫;肢体功能;生活能力

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）1（b）-0242-03

[Abstract] Objective To explore the application effect of early rehabilitation nursing on stroke patients with hemiplegia. Methods Fifty stroke patients with hemiplegia who were admitted to our hospital from May 2017 to May 2018 were selected as the study subjects. According to different nursing methods， they were divided into experimental group （n=25） and control group （n=25）. In the control group， traditional nursing was used， while in the experimental group， traditional nursing combined with early rehabilitation care was adopted. The Barthel index and Braden pressure sore risk score were compared between the two groups. Results After nursing， the Barthel index of the experimental group was higher than that of the control group， and the risk score of Braden pressure sore was lower than that of the control group， the differences were statistically significant （P<0.05）. Conclusion Early rehabilitation care for stroke patients with hemiplegia can significantly alleviate negative emotions and improve limb function and living ability.

[Key words] Early rehabilitation nursing; Stroke; Hemiplegia; Limb function; Living ability

近年來，我国经济发展势头良好，老龄化严重问题愈发突显，人们生活习惯及方式较以前截然不同，脑卒中的发病率居高不下[1]。脑卒中也称为脑血管意外，在脑血管疾病中属于一种发病率极高的病症，指的是受可控因素（如房颤、心肌梗死、动脉夹层等）、不可控因素（如性别、年龄、家族史、基因等）综合影响，导致机体脑部血管呈堵塞、破裂状态，血流无法正常流进大脑，最终脑组织遭受损伤[2]。一旦患上脑卒中，典型临床症状包括半身不遂、吐字不清、肢体麻木、头晕头痛等，严重影响人们的日常生活及工作[3]。本研究探讨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2017年5月～2018年5月收治的50例脑卒中偏瘫患者作为研究对象，按照护理方法的不同分为实验组（25例）和对照组（25例）。本研究已取得所有患者的知情权及同意权，且获得医院医学伦理委员会批准。……