王碧侠 杨细妹 朱丽梅 柯晓婉

【摘要】 目的：探討早期肢体康复训练对高血压脑出血偏瘫患者神经功能及预后的影响。方法：选取2017年1月-2019年8月本院收治的62例高血压脑出血偏瘫患者作为研究对象，按随机数字表法将其分为对照组和观察组，每组31例。对照组给予常规护理，观察组在对照组基础上给予早期肢体康复训练。比较两组干预效果。比较两组干预前后美国国卫院脑卒中评估表（national institute of health stroke scale，NIHSS）、急性生理功能和慢性健康状况评分系统Ⅱ（APACHEⅡ）及杜氏高血压生活质量量表评分。结果：观察组干预总有效率为93.55%高于对照组的64.52%（P<0.05）。干预后，两组NIHSS与APACHEⅡ评分均低于干预前，且观察组均低于对照组（P<0.05）。干预后，两组杜氏高血压生活质量量表评分均高于干预前，且观察组高于对照组（P<0.05）。结论：早期肢体康复训练可改善高血压脑出血偏瘫患者神经功能，提高生活质量，改善预后，值得临床推广。

【关键词】 早期肢体康复训练 高血压 脑出血 偏瘫

Effects of Early Limb Rehabilitation Training on Neurological Function and Prognosis of Patients with Hypertensive Cerebral Hemorrhage and Hemiplegia/WANG Bixia， YANG Ximei， ZHU Limei， KE Xiaowan. //Medical Innovation of China， 2021， 18（07）： -109

[Abstract] Objective： To investigate the effect of early limb rehabilitation training on neurological function and prognosis of patients with hemiplegia after hypertensive cerebral hemorrhage. Method： A total of 62 patients with hemiplegia of hypertensive cerebral hemorrhage admitted to our hospital from January 2017 to August 2019 were selected as the research objects， and they were divided into control group and observation group according to random number table method， with 31 cases in each group. The control group was given routine nursing， and the observation group was given early limb rehabilitation training on the basis of the control group. The effect of intervention was compared between the two groups. The national institute of health stroke scale （NIHSS）， acute physiology function and chronic health assessment system Ⅱ （APACHE Ⅱ） and Dus hypertension quality of life scale scores were compared between the two groups before and after intervention. Result： The total effective rate of intervention in observation group was 93.55% higher than 64.52% of the control group （P<0.05）. After intervention， two groups of NIHSS and APACHE Ⅱ scores were lower than before the intervention， and the observation group were lower than those of the control group （P<0.05）. After intervention， the scores of Dus hypertension quality of life scale in both groups were higher than before intervention， and observation group was higher than control group （P<0.05）. Conclusion： Early limb rehabilitation training can improve the neurological function， improve the quality of life and improve the prognosis of patients with hemiplegia after hypertensive cerebral hemorrhage， which is worthy of clinical promotion.

[Key words] Early limb rehabilitation training Hypertension Cerebral hemorrhage Hemiplegia

First-authors address： Dongguan City Changan Hospital， Dongguan 523843， China

doi：10.3969/j.issn.1674-4985.2021.07.026

心脑血管疾病已成为我国死亡率最高的慢性病，是中老年人的常见疾病，世界上每年死于心脑血管疾病的人数约为1 500万[1]。心脑血管疾病的主要危险因素是高血压，高血压的主要特征为体循环动脉血压升高，可伴有心、肝、肾脏等器官的严重受损等症状。据调查，年龄超过50岁，每3个人中便会有1个高血压患者[2]。高血压长期得不到有效治疗便损伤脑部，造成脑部出血，早期发生头晕、恶心以及嗜睡等症状，病情加重后，会压迫人的神经和血管，造成偏瘫，此时需要尽快进行外科手术治疗[3]。研究发现，当高血压脑出血症状进入稳定期后，需要进行康复训练[4]。因此本文将早期肢体康复训练应用到高血压脑出血偏瘫患者中，旨在观察其对患者神经功能的影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年1月-2019年8月本院收治的62例高血压脑出血偏瘫患者作为研究对象。……