探究脑卒中早期康复护理对关节挛缩和肩手综合征的影响

目的：探讨脑卒中患者早期康复护理对关节挛缩和肩手综合征的影响。方法：选取脑卒中患者100例，将其分为干预组和对照组，每组50例。对照组患者实施神经内科脑卒中相关康复护理；干预组患者在对照组护理基础上，实施心理支持护理、关节持续被动活动及良肢位摆放等。6周后对患者进行运动功能、日常生活活动能力、关节挛缩及肩手综合征改善状况评定。结果：两组比较，干预组的活动功能、日常生活活动能力评分均较对照组护理后高，其差异具有统计学意义（t=11.200，t=12.651；P＜0.05）；两组患者在康复护理干预后得分均有提高，但干预组更为显著；护理干预能降低关节挛缩及肩手综合征分级，与对照组比较具有显著差异。结论：脑卒中患者实施早期康复护理可提高其生活质量，使其重返社会具有重要意义。

Efficacy of early rehabilitation nursing for arthrogryposis and shoulder-hand syndrome in stroke patients

Objective：To discuss the efficacy of early rehabilitation nursing for arthrogryposis and shoulder-hand syndrome in stroke patients.Methods： 100 cases of stroke patients were divided into intervention group and control group（each group 50）. Patients in the control group received the regular nursing for stroke, while psychological nursing, continuous passive motion, and proper position were implemented in addition in the the intervention group. Fugl-Meyer assessment （FMA）, activities of daily living （ADL） were used to evaluate the functional movement of the hand （seven items with a total score of 14） after 6 weeks. The modified Ashworth scale （MAS） and the modified rankin scale （MRS） were also observed based on symptom scoring. Results： The intervention group had significant difference in limb spasmand pain of shoulder joint compared with the control group（t=11.200,t=12.651;P＆lt;0.05）. And early rehabilitation nursing was able to improve the locomotive function and daily life ability of the patients.Conclusion： Early rehabilitation nursing for arthrogryposis and shoulder-hand syndrome play a vital role in improving the living quality of stroke patients and making then return to the society.