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目的:探讨综合护理对卒中后面部偏瘫患者生活质量的影响。方法:选取我院2013年4月~2015年4月收治的82例脑卒中后面部偏瘫患者为研究对象,采用随机数表法将患者分为观察组与对照组,每组41例。对照组采用常规护理,观察组在对照组基础上增加针对性的综合护理干预,比较两组患者干预前后生活质量及面部神经功能分级变化。结果干预后,观察组ADL评分及SF-36评分与对照组比较,显著增高P<0.05);干预后,观察组面神经功能Ⅰ级、Ⅱ级患者比例与对照组比较,显著增高P<0.05),Ⅳ级、Ⅴ级患者比例与对照组比较,显著较低(P<0.05),两组Ⅲ级和Ⅵ级患者比例比较无统计学意义(P>0.05)。结论:对卒中后面部偏瘫患者实施有针对性的综合护理干预,可以有助于患者面神经功能的恢复,并提高患者生活质量,值得在临床推广应用。
Objective: To investigate the effect of comprehensive nursing on the quality of life of patients with facial hemiplegia after stroke. Methods: 82 stroke patients with facial hemiplegia after stroke were selected from April 2013 to April 2015 in our hospital. The patients were divided into observation group and control group by random number table method, with 41 cases in each group. The control group received routine nursing. The observation group added targeted comprehensive nursing intervention on the basis of the control group. The quality of life and facial nerve function grading before and after intervention were compared between the two groups. Results After intervention, the ADL score and SF-36 score in the observation group were significantly higher than those in the control group (P <0.05); after intervention, the proportion of facial nerve function grade I and II patients in the observation group was significantly higher than that in the control group (P <0.05) (P <0.05). There was no significant difference between the two groups in grade Ⅲ and Ⅵ (P> 0.05). The proportion of patients with grade Ⅳ and grade Ⅴ was significantly lower than that of the control group (P <0.05). Conclusion: The implementation of targeted comprehensive nursing intervention for patients with facial hemiplegia after stroke can contribute to the recovery of facial nerve function and improve the quality of life of patients, which is worthy of clinical application.