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目的评价老年急性脑卒中偏瘫患者接受早期康复干预治疗的临床效果。方法将老年急性脑卒中偏瘫患者88例随机分为接受常规神经内科药物治疗与护理的对照组和在常规治疗护理基础上实施早期综合康复干预的观察组,各44例。比较干预8周后2组患者的临床干预效果、肢体活动功能及日常生活能力。结果观察组总有效率为88.6%高于对照组的61.4%,差异有统计学意义(P<0.05)。干预前2组Fugl-Meyer积分与Barthel指数比较差异无统计学意义(P>0.05)。干预后2组Fugl-Meyer积分与Barthel指数均有不同程度上升,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论老年急性脑卒中偏瘫患者越早行综合康复护理干预对患者日常生活能力与肢体活动功能的恢复越有利,改善患者生活质量,降低并发症发生率,具有较高临床实用性与推广价值。
Objective To evaluate the clinical effect of early rehabilitation intervention on elderly patients with hemiplegia of acute stroke. Methods A total of 88 elderly patients with acute hemiplegia of acute stroke were randomly divided into two groups: control group receiving conventional neurology and drug treatment and nursing, and observation group receiving early comprehensive rehabilitation intervention on the basis of routine treatment and nursing care, 44 patients in each group. The effects of clinical intervention, limb function and daily life were compared between the two groups after 8 weeks intervention. Results The total effective rate of the observation group was 88.6% higher than that of the control group (61.4%), the difference was statistically significant (P <0.05). There was no significant difference in Fugl-Meyer score and Barthel index between the two groups before intervention (P> 0.05). After intervention, the scores of Fugl-Meyer score and Barthel index increased in both groups, and the difference between the two groups was statistically significant (P <0.05). Conclusion The more advanced nursing intervention for elderly patients with hemiplegia after acute stroke is more beneficial to patients’ daily living ability and physical activity recovery, improving the quality of life of patients and reducing the incidence of complications, which is of high clinical utility and promotion value.