早期康复联合心理健康教育对脑梗死患者肢体功能恢复的疗效观察(1)
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[摘要] 目的：探讨应用早期康复训练结合心理健康教育对患者偏瘫肢体功能恢复的影响。方法：将符合脑梗死诊断标准的96例患者，分为对照组和康复组，对照组(n=48)给予常规治疗；康复组(n=48)在常规治疗的基础上给予早期康复训练及心理健康教育。结果：康复组运动功能(简式Fugl-Meyer运动积分)和日常生活能力(Barther指数)明显优于对照组，差异有统计学意义(P<0.05)，结论：早期康复训练及心理健康教育对脑梗死患者肢体功能的恢复有重大意义。
[关键词] 脑梗死；康复训练；健康教育；肢体功能
[中图分类号] R473.74[文献标识码]A [文章编号]1673-7210(2008)12(b)-007-03
Clinical observation of early rehabilitation treatment and psychological health education on the extremity functional recovery of patients with cerebral infarction
ZHANG Xin-hui
(Department of Texu, Shangqiu First Hospital, Shangqiu476100, China)
[Abstract] Objective: To explore the effect of early rehabilitation treatment and psychological health education on the extremity functional recovery of patients with cerebral infarction. Methods: 96 cases selected according to the standard ischemic stroke diagnosis criteria were randomly divided into control group and rehabilitation group, with 48 cases in each group. Both patients in the two groups received routine treatment, and on the basis of routine treatment, patients in rehabilitation group were further involved with early rehabilitation and psychological health education. Results: The movement function (simple Fugl-Meyer motion score) and ability of daily life (Barther index) in rehabilitation group were significantly superior to that in control group, and it showed a statistical difference(P<0.05). Conclusion: The early rehabilitation treatment and psychological health education have a great significance to the extremity functional recovery of patients with cerebral infarction.
[Key words] Cerebral infarction; Rehabilitation treatment; Health education; Extremity function
脑梗死是脑卒中的一种类型，是供应脑的动脉发生粥样硬化等自身病变，使管腔狭窄、闭塞，进而使血栓形成，造成局部血流中断，缺血、缺氧、软化坏死。其发病急骤，病死率和病残率较高，60%～80%的患者留有不同程度的偏瘫、失语或其他后遗症，严重影响其生活质量，给患者家属和社会带来了沉重的负担。因此，本文通过对此观察，探讨早期康复训练并指导患者家属运用正确的训练方法、结合心理健康教育对脑梗死患者偏瘫肢体功能恢复的影响。
1 资料与方法
1.1 一般资料
2006年9月～2007年12月在我院确诊为脑梗死的患者96例，均符合1995年全国第四届脑血管会议制订的诊断标准[1]，并经头部CT或MRI检查确诊。
1.2 分组方法
96例患者随机分为两组，康复组48例，其中，男30例，女18例，年龄(66±4)岁；对照组48例，其中，男28例，女20例，年龄(64±6)岁。两组在年龄、性别、病情程度方面差异无统计学意义，具可比性。
1.3 治疗方法
两组患者均给予常规治疗及护理，康复组患者增加早期康复训练及心理健康教育。
1.3.1 肢体康复训练指导康复组患者在生命体征稳定、神经症状不再进展后24 h酌情开始系统的康复训练，具体从以下5个方面进行训练：
1.3.1.1 健肢位摆放保持肢体处于正确良好的姿势和体位 ......
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