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高血压脑出血并发偏瘫患者的综合康复护理干预

王丽梅 杨海红 袁怡婷 张国梅

实用临床医药杂志2018,Vol.22Issue(6):5-8,12,5.
实用临床医药杂志2018,Vol.22Issue(6):5-8,12,5.DOI:10.7619/jcmp.201806002

高血压脑出血并发偏瘫患者的综合康复护理干预

Comprehensive rehabilitation nursing intervention in patients with hypertensive cerebral hemorrhage complicated by hemiplegia

王丽梅 1杨海红 2袁怡婷 3张国梅4

作者信息

  • 1. 青海省西宁市第一人民医院护理部,青海西宁,810000
  • 2. 青海省西宁市第一人民医院风湿血液科,青海西宁,810000
  • 3. 青海省西宁市第一人民医院急诊科,青海西宁,810000
  • 4. 青海省西宁市第一人民医院神经内科,青海西宁,810000
  • 折叠

摘要

Abstract

Objective To observe the effect of comprehensive rehabilitation nursing intervention in patients with hypertensive intracerebral hemorrhage complicated with hemiplegia and its effect on neurological function.Methods A total of 120 hypertensive intracerebral hemorrhage complicated with hemiplegia were selected as research objects,and were divided into control group and observation group according to random number table method,with 60 cases in each group.The patients in the control group were treated with routine rehabilitation,and the patients in the observation group were given comprehensive rehabilitation nursing on the basis of routine rehabilitation.The levels of muscle strength,neurological function and recovery efficacy were evaluated before and 6 months after nursing.Results There was no significant difference in muscle strength between the two groups before treatment (P > 0.05).After the implementation,muscle strength of two groups were increased,and the observation group was higher than the control group (P < 0.05).The levels of S100B and MBP were lower,and the level of BDNF was higher than nursing before and that in the control group (P <0.05).The score of NIHSS was lower and the score of Barthel index was higher than nursing before and that in the control group (P <0.05).Conclusion Comprehensive rehabilitation care intervention can effectively enhance the patient's muscle strength level,improve limb function,reduce neurological damage,improve self-care ability,and reduce the impact of sequelae for patients with hypertensive intracerebral hemorrhage complicated with hemiplegia.

关键词

高血压脑出血/偏瘫/综合康复护理/神经功能/肌力水平

Key words

hypertensive cerebral hemorrhage/hemiplegia/comprehensive rehabilitation nursing intervention/neurological function/muscle strength level

分类

医药卫生

引用本文复制引用

王丽梅,杨海红,袁怡婷,张国梅..高血压脑出血并发偏瘫患者的综合康复护理干预[J].实用临床医药杂志,2018,22(6):5-8,12,5.

基金项目

青海省西宁市第一人民医院科研课题(9632015Y003) (9632015Y003)

实用临床医药杂志

1672-2353

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