早期康復(fù)護理對腦卒中偏癱患者的療效研究

論文編號:HL053  論文字數(shù):7954.頁數(shù):22

論文題目：早期康復(fù)護理對腦卒中偏癱患者的療效研究
摘　要
 
 目的 探討早期基本康復(fù)訓(xùn)練治療對腦卒中患者運動功能、日常生活（ADL）和繼發(fā)性殘疾的影響以及相關(guān)對腦卒中偏癱患者早期進行科學(xué)的康復(fù)護理效果，促進ADL能力恢復(fù)，提高患者生命質(zhì)量運動功能及日常生活活動能力的影響。
 方法 156 例急性腦卒中患者隨機分為康復(fù)組及對照組，康復(fù)組在采用常規(guī)藥物治療同時，進行早期綜合康復(fù)治療，平均于病后9天開始應(yīng)用簡單的康復(fù)護理方法，進行床邊治療。對照組僅采用常規(guī)藥物治療。35天后分別評價兩組患者的神經(jīng)功能缺損評分、肢體運動功能評定、日常生活活動能力。
 結(jié)果 治療后兩組的神經(jīng)功能缺損評分、肢體運動功能評定、日常生活活動能力評分與治療前相比，差異有顯著性（p＜0.05）,康復(fù)組各指標的改善明顯優(yōu)于對照組（p＜0.05）。
 結(jié)論 以簡單的康復(fù)醫(yī)療程序進行腦卒中早期康復(fù)的特定性，早期康復(fù)治療能有效改善急性腦卒中偏癱患者的運動功能，提高生活能力，減少神經(jīng)功能缺損。
 
 關(guān)鍵詞 急性腦卒中；早期康復(fù)；神經(jīng)功能缺損；運動功能；日常生活活動能力
 
 論文類型：類實驗研究
  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  錄
 
1 緒論 1
2研究設(shè)計……………………………………………………………………………...…….1
 2.1研究對象……………………………………………………………………………..1
 2.2研究方法……………………………………………………………………………..1
 2.2.1研究設(shè)計…………………………………………………………………………..3
 2.2.2治療方法…………………………………………………………………………..3
 2.2.2.1功能訓(xùn)練…………………………………………………………………...……3
 2.2.2.2電針治療……………………………………………………………………...…4
 2.2.2.3中頻電治療…………………………………………………………...…………4
 2.2.2.4電腦脈沖磁治療………………………………………………………...………4
 2.2.2.5心理治療………………………………………………………………...………4
 2.2.2.6綜合康復(fù)訓(xùn)練護理………………………………………………………...……4
 2.2.3評價指標………………………………………………………………..…………5
 2.3統(tǒng)計學(xué)方法………………………………………………………………………….5
3研究結(jié)果……………………………………………………………………………………7
4討論………………………………………………………………..………………………..9
5推論及建議…………………………………………………………………….………….11
 5.1推論………………………………………………………………...………………11
 5.2建議……………………………………………………………………….………..11
6結(jié)論與展望…………………………………………………………………….………….13
致謝………………………………………………………………………………….………15
參考文獻………………………………………………………………………….…………16