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目的对脑卒中急性期康复方案对患者运动功能的影响进行研究与分析。方法 82例脑卒中患者,随机分为对照组(40例)与观察组(42例)。对照组患者采用常规康复方法 ,观察组患者采用专门制定的急性期康复方案进行护理。对两组患者的康复治疗效果进行对比。结果治疗前,两组患者的脑卒中影响量表(SIS)评分比较,差异无统计学意义(P>0.05);治疗后4、8周,观察组患者的SIS评分[(412.5±52.6)、(515.3±67.2)分]均高于对照组[(356.0±62.1)、(411.4±45.1)分],差异均具有统计学意义(P<0.05)。治疗前,两组患者的肢体运动功能评分(FMA)比较,差异无统计学意义(P>0.05);治疗后4、8周,观察组患者的FMA评分[(41.7±5.0)、(44.0±3.5)分]均高于对照组[(32.2±6.1)、(41.3±5.2)分],差异均具有统计学意义(P<0.05)。结论依照专门制定的急性期康复护理方案对脑卒中患者进行护理能够有效改善患者的生活质量与运动功能,临床价值值得推广。
Objective To study and analyze the influence of acute rehabilitation program on motor function in patients with stroke. Methods 82 stroke patients were randomly divided into control group (40 cases) and observation group (42 cases). The control group of patients using conventional rehabilitation methods, the observation group of patients with a special acute recovery program for care. The effect of rehabilitation treatment was compared between the two groups. Results Before treatment, SIS score was not significantly different between the two groups (P> 0.05). After 4 weeks and 8 weeks of treatment, the SIS score of the observation group [(412.5 ± 52.6), (515.3 ± 67.2)] were significantly higher than those in the control group [(356.0 ± 62.1), (411.4 ± 45.1) points], respectively, with statistical significance (P <0.05). Before the treatment, there was no significant difference in motor function score (FMA) between the two groups (P> 0.05). FMA scores in the observation group were 41.7 ± 5.0 and 44.0 ± 3.5 points) were higher than those in the control group [(32.2 ± 6.1) and (41.3 ± 5.2) points respectively), the differences were statistically significant (P <0.05). Conclusion The nursing care of patients with stroke can effectively improve the quality of life and exercise function of patients according to the special acute rehabilitation program. The clinical value is worth popularizing.