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感觉输入法在脑梗塞急性期康复护理中的应用 |
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邓艳红
摘要 对22例脑梗塞0～Ⅱ级肌瘫病人于发病3 d内开始用深浅感觉输入法进行康复锻炼，其余主动、被动运动锻炼和药物治疗、护理均同常规方法。对照组15例0～Ⅱ级肌瘫病人只采用一般的主动、被动运动锻炼法和常规药物治疗及护理。第21 d评价疗效。结果：观察组上肢肌力的恢复优于对照组(P＜0.05)，下肢肌力的恢复两组比较无显著性差异(P＞0.05)。恢复至Ⅲ级及以上肌力的平均天数观察组为(11.01±4.88) d，对照组为(15.39±4.30) d，差异有显著性(P＜0.05)。能持匙进餐观察组13例，对照组3例；能扶拐行走观察组20例，对照组9例。康复效果观察组比对照组好(P＜0.05)。从而认为脑梗塞急性期采用感觉输入法进行康复锻炼有利于肢体运动功能和日常生活活动能力的早期和良好恢复。
关键词 脑梗塞；功能锻炼；感觉输入法；康复护理
Application of Sensation Input to the Rehabilitation of Cerebral Infarction in the Acute Stage
Deng Yanhong
Peoples Hospital of Baise Prefecture, Guanxi, Baise 533000
Abstract Thirty-seven patients with cerebral infaction of grade 0 to two myodynamia were studied. In the studied group, 22 patients received the rehabilitation therapy of sensation input combined with routine active and passive exercises. In the control group, 15 cases underwent the routine active and passive exercises only. The therapeutic effects were estimated on the 21st day after the treatment. The results showed that the effective rate was higher in the studied group than in the control group (P＜0.05). The restortion of myodynamia was faster by the sensation input plus routine exercises(11.01±4.88) days than by routine exercises alone (15.39±4.30) days, with the difference being significant (P＜0.05). It was concluded that the restoration of limb function was better and faster by the application of sensation input. Psychological nursing and participation of relatives in the nursing course might facilitated the restoration.
Key words cerebral infarction; functional exercise; sensation input; rehabilitation nursing
偏瘫是脑卒中患者神经功能损害最普遍、最突出的表现。一般认为脑梗塞需1周后才能进行功能锻炼，而一般的功能锻炼多采用单纯的主动、被动运动法，护理观察中发现这种方法病人肌力恢复较慢。1998年4～8月，笔者将Kabat和Knott的神经肌肉本体促进法简化和改造成简易感觉输入法，对22例脑梗塞病人于发病3 d内开始康复锻炼，取得满意效果。报告如下。
1 临床资料
选择发病3 d内的脑梗塞病人37例，随机分为两组。观察组22例，男16例，女6例；年龄56～70岁；左侧肢瘫12例，右侧肢瘫10例。对照组15例，男1[1] [2] 下一页
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