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目的探讨健康教育及早期康复指导对急性脑卒中后肩手综合征的影响。方法将100例急性脑卒中合并偏瘫患者随机分为观察组50例和对照组50例,两组早期均进行良肢位摆放及患肢小关节到大关节的被动运动。观察组在其基础上配合Bobarth握手训练、避免患肢输液、患手冷热水交替浸泡等综合康复措施,治疗4周后评价疗效。结果观察组偏瘫侧肩痛、关节活动度、水肿等与治疗前比较有明显差异,与对照组比较差异有统计学意义(P<0.05)。结论健康教育及早期康复指导能提高脑卒中后肩手综合征的的康复治疗效果,有助于肩关节功能的恢复,提高患者的生活质量。
Objective To investigate the effects of health education and early rehabilitation on shoulder-hand syndrome after acute stroke. Methods A total of 100 patients with acute stroke complicated with hemiplegia were randomly divided into observation group (50 cases) and control group (50 cases). Both groups were involved in passive limb movement and facet joint movement in the early stage. The observation group cooperated with Bobarth handshake training on the basis to avoid the comprehensive rehabilitation measures such as limb infusion, alternating cold and hot water immersion, and evaluated the curative effect after 4 weeks of treatment. Results The hemiplegia side of the shoulder pain, joint activity, edema and other obvious differences compared with before treatment, compared with the control group, the difference was statistically significant (P <0.05). Conclusion Health education and early rehabilitation guidance can improve the rehabilitation of shoulder-hand syndrome after stroke, and help to restore the shoulder joint function and improve the quality of life of patients.