早期康复护理对脑卒中偏瘫患者的疗效研究

论文编号:HL053  论文字数:7954.页数:22

论文题目：早期康复护理对脑卒中偏瘫患者的疗效研究
摘　要
 
 目的 探讨早期基本康复训练治疗对脑卒中患者运动功能、日常生活（ADL）和继发性残疾的影响以及相关对脑卒中偏瘫患者早期进行科学的康复护理效果，促进ADL能力恢复，提高患者生命质量运动功能及日常生活活动能力的影响。
 方法 156 例急性脑卒中患者随机分为康复组及对照组，康复组在采用常规药物治疗同时，进行早期综合康复治疗，平均于病后9天开始应用简单的康复护理方法，进行床边治疗。对照组仅采用常规药物治疗。35天后分别评价两组患者的神经功能缺损评分、肢体运动功能评定、日常生活活动能力。
 结果 治疗后两组的神经功能缺损评分、肢体运动功能评定、日常生活活动能力评分与治疗前相比，差异有显著性（p＜0.05）,康复组各指标的改善明显优于对照组（p＜0.05）。
 结论 以简单的康复医疗程序进行脑卒中早期康复的特定性，早期康复治疗能有效改善急性脑卒中偏瘫患者的运动功能，提高生活能力，减少神经功能缺损。
 
 关键词 急性脑卒中；早期康复；神经功能缺损；运动功能；日常生活活动能力
 
 论文类型：类实验研究
  Title: Clinical observation of early general rehabilitation therapy on hemiplegia after acute stroke
 
ABSTRACT
 
 
 Objectives: To observe the effect of early general rehabilitation therapy on the deficits of neurological function , motor function and activities of daily life abilities in acute stroke patients .     Methods: 156 acute stroke patients were randomly divided into the rehabilitation group and control group . The rehabilitation group was treated general rehabilitation. The control group was treated only with routine medications. The NIHSS, FMA and ADL were assessed in all the patients after 35 days.     Results: The scores on NIHSS , FMA and ADL all have significant difference in the two groups comparing before and after treatment（p＜0.05）, the scores in rehabilitation group were significantly better than in the control group（p＜0.05）.     Conclusion: Early general rehabilitation therapy has more effectiveness on reduction of neurlolgical deficit, improving the recovery of motor function and the daily life abilities for hemiplegia after acute stroke.

 KEY WORDS: acute cerebral stroke，early rehabilitation，neurological deficit，motor function ，activities of daily life abilities

 
目  录
 
1 绪论 1
2研究设计……………………………………………………………………………...…….1
 2.1研究对象……………………………………………………………………………..1
 2.2研究方法……………………………………………………………………………..1
 2.2.1研究设计…………………………………………………………………………..3
 2.2.2治疗方法…………………………………………………………………………..3
 2.2.2.1功能训练…………………………………………………………………...……3
 2.2.2.2电针治疗……………………………………………………………………...…4
 2.2.2.3中频电治疗…………………………………………………………...…………4
 2.2.2.4电脑脉冲磁治疗………………………………………………………...………4
 2.2.2.5心理治疗………………………………………………………………...………4
 2.2.2.6综合康复训练护理………………………………………………………...……4
 2.2.3评价指标………………………………………………………………..…………5
 2.3统计学方法………………………………………………………………………….5
3研究结果……………………………………………………………………………………7
4讨论………………………………………………………………..………………………..9
5推论及建议…………………………………………………………………….………….11
 5.1推论………………………………………………………………...………………11
 5.2建议……………………………………………………………………….………..11
6结论与展望…………………………………………………………………….………….13
致谢………………………………………………………………………………….………15
参考文献………………………………………………………………………….…………16