康复期应用电动康复机对脑出血偏瘫病人下肢运动功能及生活质量的影响
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摘要
目的探讨脑出血偏瘫病人在早期康复护理中应用电动康复机对下肢运动功能及生活质量的影响效果。方法选取南通大学附属医院神经外科2015年2月至2016年2月收治行早期康复护理的脑出血偏瘫病人52例作为对照组,另选取2016年3月至2017年3月在对照组基础上行电动康复机训练的脑出血偏瘫病人52例作为观察组。两组护理8周,对比下肢运动功能、生活质量及临床疗效。结果观察组护理4周、6周、8周后肢体运动功能评分(FMA)评分均高于对照组,差异有统计学意义(均P<0.05)。观察组护理2周、4周、6周、8周后生活质量量表(QOL)评分均高于对照组,差异有统计学意义(均P<0.05)。观察组治疗有效率高于对照组(94.23%比78.85%),差异有统计学意义(χ~2=4.044,P=0.044)。结论电动康复机应用于脑出血偏瘫病人早期康复护理效果显著,可有效提高下肢运动功能及临床疗效,改善生活质量,值得临床推广。
Objective To explore the effect of electric rehabilitation machine on lower limb motor function and quality of life in early rehabilitation nursing of patients with cerebral hemorrhage and hemiplegia.Methods Fifty-two hemiplegic patients with cerebral hemorrhage who received early rehabilitation nursing in Department of Neurosurgery,Affiliated Hospital of Nantong University from February 2015 to February 2016 were selected as control group,and 52 hemiplegic patients with cerebral hemorrhage who received electric rehabilitation machine training in addition to early rehabilitation nursing from March 2016 to March 2017 were selected as observation group.Two groups of patients received nursing care for 8 weeks,and then lower extremity motor function,quality of life and clinical efficacy were compared.Results The FMA scores of the observation group were significantly higher than those of the control group at 4 weeks,6 weeks and 8 weeks after nursing(all P<0.05).The QOL scores of the observation group were significantly higher than those of the control group at 2 weeks,4 weeks,6 weeks and 8 weeks after nursing,and the difference was statistically significant(all P<0.05).The effective rate of the observation group was higher than that of the control group(94.23% vs. 78.85%),and the difference was statistically significant(χ~2=4.044,P=0.044).Conclusion The application of electric rehabilitation machine in the early rehabilitation nursing of patients with cerebral hemorrhage and hemiplegia can significantly improve the motor function and clinical efficacy of lower limbs,and improve the quality of life,thus it is worth popularizing.
Objective To explore the effect of electric rehabilitation machine on lower limb motor function and quality of life in early rehabilitation nursing of patients with cerebral hemorrhage and hemiplegia.Methods Fifty-two hemiplegic patients with cerebral hemorrhage who received early rehabilitation nursing in Department of Neurosurgery,Affiliated Hospital of Nantong University from February 2015 to February 2016 were selected as control group,and 52 hemiplegic patients with cerebral hemorrhage who received electric rehabilitation machine training in addition to early rehabilitation nursing from March 2016 to March 2017 were selected as observation group.Two groups of patients received nursing care for 8 weeks,and then lower extremity motor function,quality of life and clinical efficacy were compared.Results The FMA scores of the observation group were significantly higher than those of the control group at 4 weeks,6 weeks and 8 weeks after nursing(all P<0.05).The QOL scores of the observation group were significantly higher than those of the control group at 2 weeks,4 weeks,6 weeks and 8 weeks after nursing,and the difference was statistically significant(all P<0.05).The effective rate of the observation group was higher than that of the control group(94.23% vs. 78.85%),and the difference was statistically significant(χ~2=4.044,P=0.044).Conclusion The application of electric rehabilitation machine in the early rehabilitation nursing of patients with cerebral hemorrhage and hemiplegia can significantly improve the motor function and clinical efficacy of lower limbs,and improve the quality of life,thus it is worth popularizing.
引文
[1]张宏,吕艳华.下肢康复机器人用于缓解老年脑卒中病人下肢肌痉挛的效果观察[J].护理研究,2015,29(1):109-111.
[2]王冠,郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究,2017,31(2):223-225.
[3]李寰,智冬梅,石磊,等.奥塔戈运动对脑出血后遗运动障碍老年患者运动能力和跌倒效能的影响[J].护理学报,2016,23(10):44-48.
[4] MICHIHARA A,MIDO M,MATSUOKA H,et al. Lower squalene epoxidase and higher scavenger receptor class B type 1 protein levels are involved in reduced serum cholesterol levels in stroke-prone spontaneously hypertensive rats[J]. Biol Pharm Bull,2015,38(12):1879-1890.
[5]任晓敏,李丽,马颖君.脑出血患者PICC置管前超声探查颈内静脉的效果观察[J].护理学报,2015,22(13):52-54.
[6]王先美,郭永洪,伍国锋,等.高血压脑出血患者微创置管引流术后长时血压变异性与预后的关系[J].护理学杂志,2016,31(2):68-70.
[7]李文,赵文红,蒋涛,等.院前-院内一体化急救护理程序在急性脑出血患者救治中的应用[J].现代临床护理,2015,14(8):58-61.
[8]刘伟,陈海花,张岚,等.全程健康教育在首次住院青年脑卒中患者护理管理中的应用[J].护理管理杂志,2014,14(9):661-663.
[9]卢琴.康复训练联合神经肌肉电刺激对脑出血偏瘫患者预后的影响[J].中外医学研究,2017,15(19):135-136.
[10] PETROVICOVA,KURCA E,BROZMAN M,et al. Detection of occult paroxysmal atrial fibrilation by implantable long-term electrocardiographic monitoring in cryptogenic stroke and transient ischemic attack population:a study protocol for prospective matched cohort study[J]. BMC Cardiovasc Disord,2015,3(15):160.
[11]彭信贤,李春华,钱佳栋.早期肠内营养对高血压脑出血术后重症患者的疗效观察及护理对策[J].护士进修杂志,2017,32(15):1410-1412.
[12]瓮杰慧,王维,刘新静,等. FMEA护理模式对高血压患者再发脑出血风险和适应状况的影响[J].中华现代护理杂志,2017,23(8):1076-1078.
[13]王洪岩,郭丽芳,刘婷婷,等. 3D打印导航导板辅助微创穿刺治疗脑出血患者的护理[J].中华护理杂志,2016,51(8):1020-1022.
[14]章惠英,陈蓄,章雅青,等.运动想象指导语的制订及用于脑卒中偏瘫患者上肢运动功能康复研究[J].护理学杂志,2016,31(19):80-83,87.
[15]顾彩萍,倪志宏,马颖君,等.综合护理措施对高血压脑出血患者实施微创手术的护理效果[J].护士进修杂志,2015,30(14):1311-1312.
[16] NAGHDI S,ANSARI NN,RASTGOO M,et al. A pilot study on the effects of low frequency repetitive transcranial magnetic stimulation on lower extremity spasticity and motor neuron excitability in patients after stroke[J]. J Bodyw Mov Ther,2015,19(4):616-623.
[17]袁继美.生态营养在高血压脑出血术后患者中的应用效果[J].中国实用护理杂志,2017,33(17):1306-1309.
[2]王冠,郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究,2017,31(2):223-225.
[3]李寰,智冬梅,石磊,等.奥塔戈运动对脑出血后遗运动障碍老年患者运动能力和跌倒效能的影响[J].护理学报,2016,23(10):44-48.
[4] MICHIHARA A,MIDO M,MATSUOKA H,et al. Lower squalene epoxidase and higher scavenger receptor class B type 1 protein levels are involved in reduced serum cholesterol levels in stroke-prone spontaneously hypertensive rats[J]. Biol Pharm Bull,2015,38(12):1879-1890.
[5]任晓敏,李丽,马颖君.脑出血患者PICC置管前超声探查颈内静脉的效果观察[J].护理学报,2015,22(13):52-54.
[6]王先美,郭永洪,伍国锋,等.高血压脑出血患者微创置管引流术后长时血压变异性与预后的关系[J].护理学杂志,2016,31(2):68-70.
[7]李文,赵文红,蒋涛,等.院前-院内一体化急救护理程序在急性脑出血患者救治中的应用[J].现代临床护理,2015,14(8):58-61.
[8]刘伟,陈海花,张岚,等.全程健康教育在首次住院青年脑卒中患者护理管理中的应用[J].护理管理杂志,2014,14(9):661-663.
[9]卢琴.康复训练联合神经肌肉电刺激对脑出血偏瘫患者预后的影响[J].中外医学研究,2017,15(19):135-136.
[10] PETROVICOVA,KURCA E,BROZMAN M,et al. Detection of occult paroxysmal atrial fibrilation by implantable long-term electrocardiographic monitoring in cryptogenic stroke and transient ischemic attack population:a study protocol for prospective matched cohort study[J]. BMC Cardiovasc Disord,2015,3(15):160.
[11]彭信贤,李春华,钱佳栋.早期肠内营养对高血压脑出血术后重症患者的疗效观察及护理对策[J].护士进修杂志,2017,32(15):1410-1412.
[12]瓮杰慧,王维,刘新静,等. FMEA护理模式对高血压患者再发脑出血风险和适应状况的影响[J].中华现代护理杂志,2017,23(8):1076-1078.
[13]王洪岩,郭丽芳,刘婷婷,等. 3D打印导航导板辅助微创穿刺治疗脑出血患者的护理[J].中华护理杂志,2016,51(8):1020-1022.
[14]章惠英,陈蓄,章雅青,等.运动想象指导语的制订及用于脑卒中偏瘫患者上肢运动功能康复研究[J].护理学杂志,2016,31(19):80-83,87.
[15]顾彩萍,倪志宏,马颖君,等.综合护理措施对高血压脑出血患者实施微创手术的护理效果[J].护士进修杂志,2015,30(14):1311-1312.
[16] NAGHDI S,ANSARI NN,RASTGOO M,et al. A pilot study on the effects of low frequency repetitive transcranial magnetic stimulation on lower extremity spasticity and motor neuron excitability in patients after stroke[J]. J Bodyw Mov Ther,2015,19(4):616-623.
[17]袁继美.生态营养在高血压脑出血术后患者中的应用效果[J].中国实用护理杂志,2017,33(17):1306-1309.
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