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目的:探讨脑卒中偏瘫患者的早期康复护理要点与护理效果。方法:将2016年4月-2017年4月120例脑卒中偏瘫患者作为对象,依据康复护理方法差异分对照组、早期锻炼组两组,各有60例。对照组采用常规康复护理,早期锻炼组进行早期康复护理。比较两组脑卒中偏瘫康复效果;干预前后患者肢体功能FMA、认知功能MMSE、抑郁情绪HAMD、生存质量QOL。结果:早期锻炼组脑卒中偏瘫康复效果高于对照组,P<0.05;干预前两组肢体功能FMA、认知功能MMSE、抑郁情绪HAMD、生存质量QOL相近,P>0.05;干预后早期锻炼组肢体功能FMA、认知功能MMSE高于对照组,抑郁情绪HAMD低于对照组,生存质量QOL高于对照组,P<0.05。结论:脑卒中偏瘫患者的早期康复护理要点与护理效果确切,可更好改善患者肢体功能和认知功能,减轻其抑郁情绪,提高其生存质量,值得推广。
Objective: To investigate the main points of rehabilitation and nursing care of patients with hemiplegia after stroke. Methods: From April 2016 to April 2017, 120 stroke patients with hemiplegia were divided into two groups: control group and early exercise group, with 60 cases in each group. The control group received routine rehabilitation nursing, early exercise group for early rehabilitation care. The effect of hemiplegia on stroke was compared between two groups. Before and after the intervention, limb functional FMA, cognitive function MMSE, depression HAMD and quality of life QOL were compared. Results: The rehabilitation effect of early exercise group on stroke hemiplegia was higher than that of the control group (P <0.05). The functional FMA, cognitive function MMSE, depression HAMD, quality of life QOL of the two groups before intervention were similar, P> 0.05; Body function FMA, cognitive function MMSE higher than the control group, depression HAMD lower than the control group, quality of life QOL higher than the control group, P <0.05. Conclusion: The early rehabilitation nursing points and nursing effect of stroke patients with hemiplegia are accurate, which can better improve limb function and cognitive function, reduce depression and improve their quality of life, which is worth popularizing.