摘要
目的探讨早期康复护理干预结合神经肌肉电刺激对脑卒中患者的疗效及生活质量的影响。方法选取2012年1月~2014年1月在我院住院治疗的脑卒中患者60例,全部患者随机分为观察组（早期康复护理干预结合神经肌肉电刺激）和对照组（神经肌肉电刺激）,每组各30例。比较两组治疗后的疗效,并对两组患者的下肢运动功能、日常生活活动能力、生活质量进行评价。结果观察组的总有效率90.00%,显著高于对照组的总有效率70.00%,两组疗效比较差异有统计学意义（P〈0.05）。两组治疗后的FMA、MBI评分分别较治疗前显著升高,且观察组治疗后的FMA、MBI评分均显著高于对照组,组间比较差异有统计学意义（P〈0.05或P〈0.01）。两组的力气、记忆与思维、情绪、交流、日常活动能力、行动能力、手功能、社会参与各项评分均较干预前显著升高,且观察组显著高于对照组,组间比较差异有统计学意义（P〈0.05）。结论早期康复护理干预结合神经肌肉电刺激可提高脑卒中患者的疗效,改善患者的生活质量。
Objective To explore the effect on effects and the quality of life early rehabilitation nursing intervention combined with neuromuscular electrical stimulation on patients with stroke. Methods A total of 60 cases of stroke pa- tients in our hospital from January 2012 to January 2014 were randomly divided into the observation group （early reha- bilitation nursing intervention combined with neuromuscular electrical stimulation） and control group （neuromuscular electrical stimulation）, 30 cases in each group. The efficacy of two groups after treatment, the evaluation of the lower extremity motor function, activities of daily living, quality of life of two groups were compared. Results The total effec- tive rate in the observation group was 90%, total effective rate in the control group was 70%, the observation group was significantly higher than that of control group, the difference was statistically significant （P〈0.05）. The FMA, the MBI scores in observation group and the control group after treatment were significantly higher than those before treat- ment, and FMA and MBI scores in the observation group after treatment was significantly higher than that of the control group, the difference was statistically significant （P〈0.05 or P〈0.01）. The effort, memory and thinking, emotion, com- munication, daily activity ability, the ability to move, hand function, social participation scores in two groups were sig- nificantly higher than before the intervention, and the observation group was significantly higher than those in the con- trol group, the difference was statistically significant （P〈0.05）. Conclusion Early rehabilitation nursing intervention combined with neuromuscular electrical stimulation can improve the curative effect of stroke patients, improve the quality of life of patients.
出处
《中国现代医生》
2015年第20期153-156,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2011KYA151)
关键词
脑卒中
早期康复护理
神经肌肉电刺激
生活质量
Stroke
Rehabilitation nursing
Neuromuscular electrical stimulation
Quality of life
