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[目的]讨论早期康复治疗与心理护理在脑卒中偏瘫患者中的临床疗效。[方法]将512例脑卒中偏瘫患者随机分为对照组、早期康复组与混合治疗组。对照组采用常规康复治疗,并给予心理护理;早期康复组单纯行早期康复治疗;混合治疗组行早期康复治疗加心理护理治疗。治疗前及治疗后60d均进行生活活动能力评定和痉挛评分。[结果]治疗60d后早期康复组与混合治疗组的ADL均显著高于对照组,痉挛改善程度显著大于对照组(P﹤0.05)。且混合治疗组的ADL显著高于早期康复组,其痉挛改善程度显著大于对照组(P﹤0.05)。[结论]早期康复治疗加心理护理可更有效地提高脑卒中偏瘫患者日常生活活动的能力以及痉挛程度,可更有效地提高脑卒中偏瘫患者的临床疗效,降低致残率。
[Objective] To discuss the clinical efficacy of early rehabilitation and psychological nursing in stroke patients with hemiplegia. [Methods] 512 stroke patients with hemiplegia were randomly divided into control group, early rehabilitation group and mixed therapy group. The control group received routine rehabilitation and psychological nursing. The early rehabilitation group was treated with early rehabilitation alone. The mixed treatment group received early rehabilitation and psychotherapy. 60d before treatment and after treatment were assessed life activity and spasticity score. [Result] The ADL of the early rehabilitation group and the mixed treatment group were significantly higher than that of the control group 60 days after treatment, and the improvement of spasticity was significantly greater than that of the control group (P <0.05). The ADL of the mixed treatment group was significantly higher than that of the early rehabilitation group, and the improvement of spasticity was significantly greater than that of the control group (P <0.05). [Conclusion] Early rehabilitation and psychological nursing can improve the ability of daily living activities and the degree of spasticity more effectively in patients with hemiplegia after stroke, which can effectively improve the clinical curative effect and reduce the morbidity of patients with hemiplegia after stroke.