摘要
目的探讨经颅磁刺激仪配合康复护理在脑卒中患者康复中的应用效果。方法以90例患者为对象,开展临床护理研究(2021.2—2025.5),随机分组后进行不同护理措施配合(对照组/观察组,45/45例),评价常规护理(对照组)、经颅磁刺激仪配合康复护理(观察组)对患者神经功能、肢体功能、生活能力、生存质量的影响。结果护理前观察组与对照组对比神经功能缺损量表(National Institutes of Health Stroke Scale,NIHSS),Fugl-Meyer运动功能评定量表(Fugl-Meyer Assessment,FMA)上、下肢,基本生活活动能力量表(Basic Activities of Daily Living Scale,BADL)评分,世界卫生组织生存质量量表(World Health Organization Quality of Life Scale,WHO-QOL)评分,均无统计学意义(P>0.05)。NIHSS评分在护理后降低,且与对照组比较,观察组降低更显著(P<0.05)。FMA(上、下肢)评分在护理后提高,且与对照组比较,观察组提高更显著(P<0.05)。BADL评分在护理后提高,且与对照组比较,观察组提高更显著(P<0.05),WHO-QOL评分在护理后均提高,且与对照组比较,观察组提高更显著(P<0.05)。结论经颅磁刺激仪配合康复护理在脑卒中患者康复中应用效果理想,尤其改善了患者的神经及肢体功能,其基本生活能力进一步恢复,患者综合生存质量评分更高,值得推广应用。
Objective To explore the effect of transcranial magnetic stimulation device combined with rehabilitation nursing in stroke rehibilitation.Methods A clinical nursing study was conducted on 90 patients(from February 2021 to May 2025).After random grouping,different nursing measures were combined(control group/observation group,45/45 cases)to evaluate the effects of conventional nursing(control group)and transcranial magnetic stimulation combined with rehabilitation nursing(observation group)on the neurological function,limb function,living ability and quality of life of the patients.Result Before nursing,the observation group and the control group compared the upper and lower limbs with National Institutions of Health Stroke Scale(NIHSS)and Fugl-Meyer Assessment Scale(FMA).There was no significant difference in the scores of Basic Activities of Daily Living Scale(BADL)and World Health Organization Quality of Life Scale(WHO-QOL)(P>0.05).The NIHSS score decreased after nursing,and compared with the control group,the observation group decreased more significantly(P<0.05).The scores of FMA(upper and lower limbs)were improved after nursing,and the improvement in the observation group was more significant than that in the control group(P<0.05).BADL score was improved after nursing,and compared with the control group,the observation group improved more significantly(P<0.05),and the WHO-QOL score was improved after nursing,and the observation group improved more significantly(P<0.05).Conclusion The transcranial magnetic stimulation device combined with rehabilitation nursing has demonstrated a marked clinical effect on stroke patients.It has notably improved the neurological and limb functions of the patients,further restored their basic living ability,and resulted in higher overall quality of life scores,which is worthy of broader promotion and clinical adoption.
作者
张玉萍
王星
ZHANG Yuping;WANG Xing(Internal Medicine,Jintai Hospital,Baoji 721001,China;Department of Nephrology and Endocrinology,Jintai Hospital,Baoji 721001,China)
出处
《医学工程与医用气体》
2026年第1期39-41,共3页
Medical Engineering And Medical Gases
关键词
脑卒中
经颅磁刺激仪
康复护理
神经功能
肢体功能
生活能力
生存质量
Stroke Transcranial magnetic stimulator
Rehabilitation nursing
Neural function
Limb function
Life ability
Quality of life
