神经内科护理中康复护理对脑卒中后偏瘫患者的预后观察分析 Observation and Analysis of Rehabilitation Nursing in Neurology Nursing on Prognosis of Patients with Hemiplegia after Stroke
目的：针对脑卒中后偏瘫患者采用康复护理，观察对这类患者的预后作用。方法：选择2020年1月至2021年1月至我院治疗的脑卒中后偏瘫患者，共200例，随机分成各100例的对照组和观察组，对照组采用常规护理法，观察组采用康复护理。对比两组患者的运动评分、RMS和iEMG评分、NISSS和Barthel评分、治疗情况。结果：护理之后，上下肢总分分值观察组明显高于对照组，P < 0.05，差异具有统计学意义。通过精心的治疗与护理，观察组的肱二头肌、腕屈肌、髋关节屈肌群iEMG值分值明显高于对照组，P < 0.05，差异具有统计学意义。护理后，观察组的肱二头肌、腕屈肌、髋关节屈肌群RMS值分值明显高于对照组，P < 0.05，差异具有统计学意义。护理后，两项评分明显更优的是观察组，两组对比，P < 0.05，差异具有统计学意义。护理后对照组以及观察组的治疗总有效率分别为94%、51.00%，观察组的治疗总有效率明显高于对照组，P < 0.05，差异具有统计学意义。结论：针对脑卒中后偏瘫患者采用康复护理可以明显提升患者的肌肉能力，改善运动能力，同时有效提升治疗效果以及生活能力。
Objective: To observe the effect of
rehabilitation nursing on the prognosis of patients with hemiplegia after
stroke. Methods: 200 patients with hemiplegia after stroke treated in our
hospital from January 2020 to January 2021 were selected and randomly divided
into the control group and the observation group with 100 cases in each group.
The control group was given routine nursing, and the observation group was
given rehabilitation nursing. The motor score, RMS and iEMG score, nisss and
Barthel score, and treatment of the two groups were compared. Results: After nursing,
the total score of upper and lower limbs in the observation group was
significantly higher than that in the control group, P < 0.05, the difference was statistically significant. Through careful treatment and nursing, the iEMG scores of biceps brachii, flexor carpi and flexor hip in the observation group were significantly higher than those in the control group, P < 0.05, with statistical significance. After nursing, the RMS value of biceps brachii, flexor carpi and flexor hip of the observation group was significantly higher than that of the control group, P < 0.05, with statistical significance. After nursing, the two scores were significantly better in the observation group, compared with the two groups, P < 0.05, the difference was statistically significant. After nursing, the total effective rates of the control group and the observation group were 94% and 51%, respectively. The total effective rate of the observation group was significantly higher than that of the control group, P < 0.05, with statistical significance. Conclusion: For patients with hemiplegia after stroke, rehabilitation nursing can significantly improve the muscle ability of patients, improve motor ability, and effectively improve the treatment effect and life ability.
