脑卒中患者运动障碍的康复护理脑卒中患者运动障碍的康复护理【摘要】目的探讨早期康复护理对脑卒中致残患者肢体功能恢复及日常生活活动能力(ADL)的影响。方法选择首次发生脑卒中且Brunnstrom分期4～6级患者80例,年龄45～70岁,男44例,女36例,将80例脑卒中偏瘫患者随机分为康复组(40例)和对照组(40例)进行临床对照研究,两组均进行神经内科常规护理,康复组则在入院当天即进行康复护理训练,对每例患者入院时、出院时分别进行Bathel指数(BI)评分。结果康复组与对照组在入院时ADL评分比较差异无统计学意义(P>0.01),而出院时两组ADL评分比较差异有统计学意义(P<0.01)。结论早期、科学、合理的康复护理训练介入能提高患者的ADL，能有效地提高脑卒中后患者的生存质量。【关键词】脑卒中;早期康复护理;偏瘫MovementdisorderpatientswithstrokerehabilitationcareInTheNursingProfessionSUNYanfeiAbstract:PurposesOfearlyrehabilitationcareforstrokepatientswithrecoveryoflimbfunctionanddisabilityactivitiesofdailyliving(ADL)impact.Methods.SelectthefirstoccurrenceofstrokeandBrunnstromstage4to6of80patients,aged45to70years,44malesand36females.80casesofstrokewererandomlydividedintorehabilitationgroup(40cases)andcontrolgroup(40patients)wereclinicalcontrolledstudy,bothgroupsunderwentroutinecareandneurologicalrehabilitationgroupcarriedoutthesamedayinthehospitalrehabilitationcaretraining,oneachpatientadmission,discharge,respectivelyBathelIndex(BI)score.Results.RehabilitationgroupandcontrolgrouponadmissionADLscoredifferencewasnotstatisticallysignificant(P>0.01),andADLscoresatdischargebetweenthetwogroupswasstatisticallysignificant(P<0.01).Conclusion.Early,scientificandreasonablerehabilitationinterventionscanimprovepatientcareandtrainingoftheADL,caneffectivelyimprovethequalityoflifeofpatientsafterstroke.Keywords:Stroke;earlyrehabilitationcare;hemiplegia.目录1临床资料．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．11.1病因分析．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．11.2脑卒中运动障碍功能评估..．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．22资料与方法．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．22.1一般资料．．．．．．．．．．．．..．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．22.2对照组．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．22.3康复组．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．33疗效观察．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．33.1疗效评定标准．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．