早期康复治疗对急性大血管闭塞引起的脑卒中运动功能恢复的影响研究(1)
【摘要】 目的 探讨早期康复治疗对急性大血管闭塞引起的脑卒中运动功能恢复的影响。方法 55例急性大血管闭塞引起的脑卒中患者， 随机分为观察组(28例)与对照组(27例)。对照组接受常规治疗+护理干预， 观察组患者在对照组基础上采取早期康复治疗。对比两组患者的运动功能、生活质量及住院期间并发症发生率。结果 观察组患者简式Fugl-Meyer评定量表(FMA)、日常生活能力量表(ADL)评分分别为(59.68±6.76)、(65.76±6.64)分， 均显著高于对照组的(42.66±5.85)、(56.93±5.67)分， 差异有统计学意义(P<0.05)。观察组患者住院期间并发症发生率为7.14%， 显著低于对照组的29.63%， 差异有统计学意义(P<0.05)。结论 早期康复治疗应用于急性大血管闭塞后脑卒中患者效果显著， 能够有效促进其运动功能的恢复， 降低临床并发症的发生， 值得推广。
【关键词】 脑卒中;早期康复治疗;常规护理;急性大血管闭塞;运动功能
DOI：10.14163/j.cnki.11-5547/r.2020.25.077
【Abstract】 Objective To discuss the effect of early rehabilitation treatment on the recovery of motor function in stroke caused by acute large vessel occlusion. Methods A total of 55 cases of stroke caused by acute large vessel occlusion were randomly divided into observation group (28 cases) and control group (27 cases). The control group received conventional treatment and nursing intervention， and the observation group received early rehabilitation treatment on the basis of the control group. The motor function， quality of life and incidence of complications during hospitalization were compared between the two groups. Results The simplified Fugl-Meyer assessment (FMA) and activities of daily living (ADL) score of the observation group was (59.68±6.76) and (65.76±6.64) points， which was significantly higher than that of the control group (42.66±5.85) and (56.93±5.67) points， and the difference was statistically significant (P<0.05). The incidence of complications during hospitalization of the observation group was 7.14%， which was significantly lower than that of the control group 29.63%， and the difference was statistically significant (P<0.05). Conclusion Early rehabilitation treatment shows remarkable effect in stroke caused by acute large vessel occlusion， which can effectively promote the recovery of motor function and reduce the incidence of clinical complications， which is worthy of promotion.
【Key words】 Stroke; Early rehabilitation treatment; Conventional nursing; Acute large vessel occlusion; Motor function
腦卒中是一种十分典型的老年疾病， 随着社会发展， 脑卒中发病率逐渐提升， 大众健康逐渐改善， 常规护理方式已经无法满足日益上升的临床需求， 因此采取一种更加有效的康复干预措施十分关键[1]。本次研究旨在探究早期康复治疗对急性大血管闭塞引起的脑卒中患者运动功能恢复的影响， 特选取55例患者展开针对性研究， 具体内容报告如下。
1 资料与方法
1. 1 一般资料 抽取本院2018年1月～2019年1月收治的55例急性大血管闭塞引起的脑卒中患者为临床研究， 随机分为观察组(28例)与对照组(27例)。对照组患者男15， 女12例;年龄48～87岁， 平均年龄(68.64±10.37)岁。观察组患者男16例， 女12例;年龄49～88岁， 平均年龄(69.13±10.76)岁。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。所有患者均符合脑卒中诊断标准， 经临床证实均由急性大血管闭塞致病， 所有患者及家属对本次研究均知情同意， 签署知情同意书。排除存在严重心脏功能疾病者、相关药物禁忌者、严重凝血功能异常者、免疫功能障碍者及存在认知、行为、精神障碍者。, http://www.100md.com(戚进聪 苏瑞林 李钟安)
【关键词】 脑卒中;早期康复治疗;常规护理;急性大血管闭塞;运动功能
DOI：10.14163/j.cnki.11-5547/r.2020.25.077
【Abstract】 Objective To discuss the effect of early rehabilitation treatment on the recovery of motor function in stroke caused by acute large vessel occlusion. Methods A total of 55 cases of stroke caused by acute large vessel occlusion were randomly divided into observation group (28 cases) and control group (27 cases). The control group received conventional treatment and nursing intervention， and the observation group received early rehabilitation treatment on the basis of the control group. The motor function， quality of life and incidence of complications during hospitalization were compared between the two groups. Results The simplified Fugl-Meyer assessment (FMA) and activities of daily living (ADL) score of the observation group was (59.68±6.76) and (65.76±6.64) points， which was significantly higher than that of the control group (42.66±5.85) and (56.93±5.67) points， and the difference was statistically significant (P<0.05). The incidence of complications during hospitalization of the observation group was 7.14%， which was significantly lower than that of the control group 29.63%， and the difference was statistically significant (P<0.05). Conclusion Early rehabilitation treatment shows remarkable effect in stroke caused by acute large vessel occlusion， which can effectively promote the recovery of motor function and reduce the incidence of clinical complications， which is worthy of promotion.
【Key words】 Stroke; Early rehabilitation treatment; Conventional nursing; Acute large vessel occlusion; Motor function
腦卒中是一种十分典型的老年疾病， 随着社会发展， 脑卒中发病率逐渐提升， 大众健康逐渐改善， 常规护理方式已经无法满足日益上升的临床需求， 因此采取一种更加有效的康复干预措施十分关键[1]。本次研究旨在探究早期康复治疗对急性大血管闭塞引起的脑卒中患者运动功能恢复的影响， 特选取55例患者展开针对性研究， 具体内容报告如下。
1 资料与方法
1. 1 一般资料 抽取本院2018年1月～2019年1月收治的55例急性大血管闭塞引起的脑卒中患者为临床研究， 随机分为观察组(28例)与对照组(27例)。对照组患者男15， 女12例;年龄48～87岁， 平均年龄(68.64±10.37)岁。观察组患者男16例， 女12例;年龄49～88岁， 平均年龄(69.13±10.76)岁。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。所有患者均符合脑卒中诊断标准， 经临床证实均由急性大血管闭塞致病， 所有患者及家属对本次研究均知情同意， 签署知情同意书。排除存在严重心脏功能疾病者、相关药物禁忌者、严重凝血功能异常者、免疫功能障碍者及存在认知、行为、精神障碍者。, http://www.100md.com(戚进聪 苏瑞林 李钟安)