早期康复配合中医护理对脑卒中偏瘫患者肢体功能恢复的影响
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R248;R743.3

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Effect of Early Rehabilitation Combined with Chinese Medicine Nursing on Recovery of Limb Function in Patients with Hemiplegia After Stroke
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    摘要:

    目的:探究早期康复配合中医护理对脑卒中偏瘫患者肢体功能恢复的影响。方法:选取脑卒中偏瘫患者68 例,按随机数字表法分为对照组和观察组各34 例。对照组给予早期康复护理,观察组在对照组基础上给予中医护理。比较2 组护理前后肢体运动功能、生活能力、神经功能缺损及生活质量情况。结果:护理前,2 组上肢和下肢运动功能评分、生活能力评分、神经功能缺损程度评分量表(CSS) 评分比较,差异均无统计学意义(P>0.05)。护理后,2 组上肢和下肢运动功能评分、生活能力评分较护理前升高,CSS 评分较护理前降低;且观察组上肢和下肢运动功能评分、生活能力评分高于对照组,CSS 评分低于对照组;差异均有统计学意义(P<0.05)。观察组物质功能、心理功能、躯体功能、社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:早期康复配合中医护理可促进脑卒中偏瘫患者肢体运动功能、生活能力的恢复,改善患者神经功能缺损,提高患者生活质量,促进患者的康复。

    Abstract:

    Abstract:Objective:To explore the effect of early rehabilitation combined with Chinese medicine nursing on recovery of limb function in patients with hemiplegia after stroke. Methods:A total of 68 cases of patients with hemiplegia after stroke were selected and divided into the control group and the observation group according to the random number table method, 34 cases in each group. The control group was given early rehabilitation nursing,and the observation group was additionally given Chinese medicine nursing based on the treatment of the control group. Before and after nursing,the extremity motor function,living ability,neurologic impairment and quality of life in the two groups were compared. Results:Before nursing, there was no significant difference being found in the comparison of the scores of motor function in upper and lower extremities, life ability, and Chinese Stroke Scale(CSS) between the two groups(P>0.05). After nursing, the scores of motor function in upper and lower extremities and life ability in the two groups were increased when compared with those before nursing,and CSS scores were decreased;the scores of motor function in upper and lower extremities and life ability in the observation group were higher than those in the control group, and CSS score was decreased, differences being significant(P<0.05). The scores of material function, psychological function, body function and social function in the observation group were all higher than those in the control group,the difference being significant(P<0.05). Conclusion:Early rehabilitation combined with Chinese medicine nursing can promote the recovery of extremity motor function and life ability in patients with hemiplegia after stroke,improve their neurologic impairment,enhance their quality of life,and promote their rehabilitation.

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李晓莉.早期康复配合中医护理对脑卒中偏瘫患者肢体功能恢复的影响[J].新中医,2020,52(21):162-164

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  • 在线发布日期: 2020-11-05
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