首页> 中文期刊> 《护士进修杂志》 >脑卒中偏瘫患者颈部与健侧上肢输液对上肢功能恢复的影响探讨

脑卒中偏瘫患者颈部与健侧上肢输液对上肢功能恢复的影响探讨

         

摘要

Objective To investigate the impacts of the neck and the healthy side upper limb infusion on upper limb functional recovery of the stroke patients ,who were receiving function training for hemiplegia line double upper limb .Method 64 patients were randomly divided into two groups ,the observation group (32 cases for external carot‐id venous indwelling needle infusion) and the control group (32 cases for the healthy side upper limb venous indwell‐ing needle infusion) for clinical controlled study .Two groups of patients were both under nerve internal medicine medications ,methods of regular exercise ,training for daily life activities and double arm rehabilitation training . They were evaluated for the function of upper part by using Fugl‐Meyer rating scale and Barthel index at the begin‐ning and after 4 weeks in hospital respectively .Result There was no significant difference for the scores between two groups of patients on admission (P>0 .05);the FMA/Barthel .index scores of patients who lived in hospital after 4 weeks were quite different with the patients at the start of admission (P<0 .01) .Compared with the control group . greater difference was found in the FMA and Barthel index score of observation group (P<0 .05) .Conclusion Neck infusion contributes to the training for the double upper limb function of stroke patients with hemiplegia and the functional recovery of the upper extremities at risk .%目的:探讨脑卒中偏瘫患者行双上肢康复训练时颈部与健侧上肢输液对上肢功能恢复的影响。方法将64例脑卒中偏瘫患者随机分成观察组和对照组,各32例。两组患者均进行常规神经内科药物治疗、常规运动方法、日常生活活动训练及双上肢康复训练,并分别于入院时和入院后4周利用Fugl‐Meyer评定量表上肢部分及Barthel指数行功能评定。结果两组患者入院时评分差异无统计学意义(P>0.05);入院后4周 FMA、Barthel指数评分与入院时相比,差异有统计学意义(P<0.01);与对照组相比,观察组患者FMA、Barthel指数的评分差异有统计学意义(P<0.05)。结论颈部输液有助于脑卒中偏瘫患者双上肢功能训练和患侧上肢功能恢复。

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