论文部分内容阅读
目的:探讨脑卒中患者早期进行良肢位摆放对痉挛的影响。方法:对我院收治的160例脑卒中患者的临床资料进行回顾性分析,把良肢位摆放开始时间分为观察组和对照组,即对照组从患者进入康复科住院开始进行良肢位摆放,同时进行系统康复训练;观察组于相关临床科室(脑外科及神经内科)开始治疗期间即进行良肢位摆放,病情平稳后转入我科进行系统康复训练,对比分析发病6个月后两组患者肢体的痉挛情况。结果:发病6个月后,按照新修订Ashworth分级方法,观察组肢体痉挛分级0-I+级患者为58例;对照组肢体痉挛分级0-I+级患者为41例;观察组患者发病6个月后痉挛情况明显好于对照组(P<0.05)。结论:及早对脑卒中患者进行良肢位摆放,能有效改善脑卒中患者后期的痉挛情况,继而可以提高患者日常生活能力。
Objective: To investigate the effect of limb paralysis in early stroke patients on spasticity. Methods: The clinical data of 160 stroke patients admitted to our hospital were analyzed retrospectively. The starting time of limbs placement was divided into observation group and control group, that is, the control group received the patients Placed in the same time for system rehabilitation training; observation group in the relevant clinical departments (brain surgery and neurology) to begin treatment during the limbs were placed, the disease was stable transferred to our department for systematic rehabilitation training, comparative analysis of the incidence of 6 Month after the two groups of patients with limb spasm. Results: Six months after the onset of disease, according to the newly revised Ashworth classification method, 58 patients with limb spasticity grade 0-I + were observed; 41 patients with limb spasticity grade 0-I + grade in control group and 6 months Posterior spasm was significantly better than the control group (P <0.05). Conclusion: Early limb paralysis in patients with stroke can effectively improve the post-stroke spasm in stroke patients, which in turn can improve the daily living ability of patients.