摘要
目的:探讨分阶段康复护理对急性脑梗死溶栓后患者康复效果的影响。方法:选择85例急性脑梗死且进行溶栓治疗患者,根据入院先后顺序分为观察组43例和对照组42例。两组患者入院后均给予超早期(<6 h)溶栓治疗,对照组给予常规护理,康复训练以患者意愿为主。观察组在此基础上,待病情稳定后进行分阶段康复护理。比较两组临床疗效、康复效果以及随访3个月脑血管事件和生活质量。结果:观察组临床疗效优于对照组;观察组NIHSS评分低于对照组,Barthel评分高于对照组,差异有统计学意义(P<0.05);随访3个月,观察组脑血管事件发生率低于对照组,差异有统计学意义(P<0.05);康复护理3个月后,两组生活质量均明显改善,观察组总体健康、生理功能、生理职能、情感职能、社会功能、活力、精力等评分均高于对照组,差异有统计学意义(P<0.05)。结论:分阶段康复护理有助于减轻急性脑梗死溶栓治疗患者神经功能缺损,降低脑血管事件发生率,提高患者的生活质量。
Objective: To explore the effect of staged nursing on the rehabilitation of patients with acute cerebral infarction after thrombolysis. Methods: 85 patients with acute cerebral infarction and thrombolytic therapy were divided into observation group (43 cases) and control group (42 cases), according to the order of admission. Two groups of patients were given super early(6h) thrombolysis after admission. The control group was given routine nursing. On the basis of the observation group, staged rehabilitation nursing was carried out after stable condition. The clinical effect, rehabilitation effect, cerebrovascular events and quality of life were compared between the two groups. Results: The clinical efficacy of the observation group was better than that of the control group;The NIHSS score of the observation group was lower than that of the control group, and the Barthel score was higher than that of the control group(P<0.05).The incidence of cerebrovascular events in the observation group was lower than that in the control group after 3 months of follow-up (P<0.05). After 3 months of rehabilitation nursing, the quality of life of the two groups were significantly improved. The scores of general health, physiological function, physiological function, emotional function, social function, vitality and energy of the observation group were higher than those of the control group (P<0.05). Conclusion: Staged rehabilitation nursing is helpful to alleviate the neurological deficit, reduce the incidence of cerebrovascular events and improve the quality of life of patients with acute cerebral infarction treated by thrombolytic therapy.
作者
于起苹
魏佳丽
刘长英
YU Qiping;WEI Jiali;LIU Changying(Tianjin Fifth Central Hospital, Tianjin 300450)
出处
《天津护理》
2019年第1期48-51,共4页
Tianjin Journal of Nursing
关键词
急性脑梗死
溶栓
康复护理
生活质量
Acute cerebral infarction
Thrombolysis
Rehabilitation nursing
Quality of life
