首页> 中文期刊> 《护理实践与研究》 >早期康复护理对急性脑卒中患者吞咽功能障碍与肢体功能恢复的影响

早期康复护理对急性脑卒中患者吞咽功能障碍与肢体功能恢复的影响

         

摘要

Objective:To discuss the application effect of early nursing rehabilitation in swallowing dysfunction and hemiplegic limb function recovery of patients with acute cerebral apoplexy.Methods:Selected 150 patients receiving treatment and receiving rehabilitation training in our hospital from January 2013 to January 2015, and they were equally divided into observation group and control group, where patients in the observation group received the early rehabilitation training intervention, and patients in the control group received the conventional rehabilitation nursing.Patients in the two groups were compared in swallowing dysfunction and hemiplegic limb function recovery and improvement of daily living ability.Results:Through the rating with water swallow test and Saitoh swallowing dysfunction 7-grade rating method, the improvement of swallowing dysfunction of patients in the observation group was significantly superior to that of patients in the control group, and the difference was statistically significant(P<0.05);and the FMA evaluation effect of movement function of upper and lower limbs of patients in the observation group was significantly superior to that of patients in the control group(P<0.05);the score of daily living ability of patients in the observation group was significantly higher than that of patients in the control group, and the difference was statistically significant(P<0.05).Conclusion:Early rehabilitation nursing was beneficial to recover the swallowing dysfunction and hemiplegic limb movement function of patients with acute cerebral apoplexy maximally and was significant to improve the patients' survival quality.%目的:探讨早期康复护理在急性脑卒中患者吞咽功能障碍和偏瘫肢体功能恢复中的应用效果.方法:选取2013年1月~2015年1月于本院就诊并进行康复训练的150例患者为研究对象,随机将其等分为观察组与对照组,观察组接受早期康复训练干预;对照组进行常规康复护理,比较两组患者吞咽功能障碍、偏瘫肢体功能恢复、日常生活能力改善情况.结果:通过洼田饮水法、才藤氏吞咽功能障碍 7 级评分法评定,观察组吞咽功能改善情况明显优于对照组,差异有统计学意义(P<0.05);观察组患者上下肢运动功能进行FMA评定效果明显优于对照组(P<0.05);观察组患者的日常生活能力评分明显高于对照组,差异有统计学意义(P<0.05).结论:早期康复护理干预有利于最大限度地恢复急性脑卒中患者的吞咽功能和偏瘫肢体运动功能,对改善患者生存质量具有重要意义.

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