[1]杨静萍,梁肖玉,张金娜,等.良肢位摆放对瘫痪患者肌力恢复影响的前瞻性随机对照研究[J].医学信息,2021,34(22):172-175.[doi:10.3969/j.issn.1006-1959.2021.22.053]
　YANG Jing-ping,LIANG Xiao-yu,ZHANG Jin-na,et al.A Prospective Study of Randomized Controlled Design on the Effect of Good Limb Placement Nursing on the Recovery of Muscle Strength in Paralysis Patients[J].Medical Information,2021,34(22):172-175.[doi:10.3969/j.issn.1006-1959.2021.22.053]
点击复制

良肢位摆放对瘫痪患者肌力恢复影响的前瞻性随机对照研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
172-175
栏目:
护理研究
出版日期:
2021-11-15

文章信息/Info

Title:
A Prospective Study of Randomized Controlled Design on the Effect of Good Limb Placement Nursing on the Recovery of Muscle Strength in Paralysis Patients
文章编号:
1006-1959（2021）22-0172-04
作者:
杨静萍; 梁肖玉; 张金娜; 等
（广东省第二人民医院脑血管病中心/神经内科1，P3生物安全实验室2，广东 广州 510317）
Author(s):
YANG Jing-ping; LIANG Xiao-yu; ZHANG Jin-na; et al.
(Department of Neurology,the Center of Cerebrovascular Diseases1,P3 Biosafety Laboratory2,Guangdong Second Provincial General Hospital,Guangzhou 510317,Guangdong,China)
关键词:
脑卒中; 肢体瘫痪; 良肢位摆放; 肢体功能
Keywords:
Stroke; Limb paralysis; Good limb placement; Limb function
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.22.053
文献标志码:
A
摘要:
目的 评价良肢位摆放对瘫痪肢体功能恢复的作用及影响因素。方法 选择2018年10月-2019年10月我科住院的肢体瘫痪患者，采用随机数表法分为对照组41例和实验组40例。对照组按常规摆放，实验组从入院当天开始用良肢位摆放对瘫痪肢体进行护理，记录入院当天、1周及出院时的肌力积分值，比较各组入院1周、2周及出院时肌力积分差值变化。结果 实验组入院治疗后1周、2周时肌力积分差值均高于对照组，但差异无统计学意义（P＞0.05）；实验组出院时肌力积分差值高于对照组（P＜0.05）；实验组女性、＞75岁及住院天数＞15 d以上的患者肌力积分差值高于对照组（P＜0.05）；多因素Logistic回归分析显示，实验组住院天数和年龄是肌力积分差值的影响因素（P＜0.05）。结论 良肢位摆放护理可提高肢体瘫痪患者肌力恢复能力，但临床应用时要考虑疗程、年龄的影响因素。
Abstract:
Objective To evaluate the effect of good limb placement on function recovery of paralyzed limbs.Methods Patients with limb paralysis admitted to our department from October 2018 to October 2019 were randomly divided into control group (41 cases) and experimental group (40 cases). The control group was nursed with traditional functional position, and the experimental group began to care for the good limb placement from the day of admission，the muscle strength integral scores were recorded at the day of admission, 1 week and 2 weeks safter admission，at discharge, and compared the difference between 1 week, 2 weeks and discharge of each group.Results The difference of muscle strength scores in the experimental group at 1 and 2 weeks after admission was higher than that in the control group, but the difference was not statistically significant (P>0.05). The difference of muscle strength score at discharge in the experimental group was higher than that in the control group(P<0.05). The difference in muscle strength scores of women, patients over 75 years old and patients over 15 days of hospitalization in the experimental group were higher than that in the control group(P<0.05). Multivariate Logistic regression analysis showed that the length of hospital stay and age were the influencing factors of muscle strength score difference in the experimental group (P<0.05).Conclusion Good limb position nursing can improve the muscle strength recovery ability of patients with limb paralysis, but the influencing factors of treatment course and age should be considered in clinical application.

参考文献/References:

[1]Ekker MS,Boot EM,Singhal AB,et al.Epidemiology, aetiology, and management of ischaemic stroke in young adults[J].Lancet Neurol,2018,17(9):790-801.[2]Brainin M.Stroke epidemiology in China: which are the next steps?[J].Lancet Neurol,2019,18(4):325-326.[3]Akosile CO,Banjo TO,Okoye EC,et al.Informal caregiving burden and perceived social support in an acute stroke care facility[J].Health Qual Life Outcomes,2018,16(1):57.[4]王春旺.早期针灸联合现代康复治疗急性缺血性中风弛缓期瘫痪的临床疗效[J].医学信息,2019,32(15):152-153,156.[5]高志群.针刺结合现代康复技术治疗脑卒中后偏瘫临床研究[J].安徽中医药大学学报,2021,40(2):58-62.[6]Le Danseur M.Stroke Rehabilitation[J].Crit Care Nurs Clin North Am,2020,32(1):97-108.[7]梁宜钢,萧啟锋,王宁,等.基于两个病种的医疗费用控制路径分析[J].中国医疗保险,2020(9):60-63.[8]赵雪雁,王晓琪,刘江华,等.基于不同尺度的中国优质医疗资源区域差异研究[J].经济地理,2020,40(7):22-31.[9]王晴.良肢位摆放在脑卒中偏瘫患者早期康复护理的效果[J].当代临床医刊,2019,32(1):61,33.[10]邱青青,蔡珍芝,温金凤.良肢位摆放早期康复护理在脑卒中偏瘫患者中的应用效果[J].中国当代医药,2017,24(3):188-190.[11]Enoka RM,Duchateau J.Rate Coding and the Control of Muscle Force[J].Cold Spring Harb Perspect Med,2017,7(10):a029702.[12]Zhang Y,Zhang Q,Zhao CS.Cervical brucellar spondylitis causing incomplete limb paralysis[J].Rev Soc Bras Med Trop,2019(52):e20180243.[13]Ueda R,Yamada N,Abo M,et al.Correlation analysis of motor function improvement and brain structure for upper limb paralysis[J].Neuroreport,2019,30(2):77-81.[14]Deblock-Bellamy A,Batcho CS,Mercier C,et al.Quantification of upper limb position sense using an exoskeleton and a virtual reality display[J].J Neuroeng Rehabil,2018,15(1):24.[15]Bryden A,Kilgore KL,Nemunaitis GA.Advanced Assessment of the Upper Limb in Tetraplegia: A Three-Tiered Approach to Characterizing Paralysis[J].Top Spinal Cord Inj Rehabil,2018,24(3):206-216.[16]罗秋兰,兰桂香,赵莉莉,等.上肢良肢位护理气垫在瘫痪患者中的应用效果[J].中国当代医药,2019,26(26):189-192.[17]蔡旭,谢政蓉.脑卒中良肢位摆放装置的设计与应用[J].实用临床护理学电子杂志,2019,4(46):192.[18]Abbasi J.Recovery of Voluntary Movement After Paralysis[J].JAMA,2018,320(18):1850. [19]Staszel JP,Miknevich M.Not Always as It Seems: A Case of Ascending Paralysis[J].Am J Phys Med Rehabil,2020,99(3):e32-e34.[20]范宇笑.良肢位摆放标识护理在脑卒中偏瘫病人中的应用[J].全科护理,2017,15(31):3922-3923.[21]Papa EV,Dong X,Hassan M.Resistance training for activity limitations in older adults with skeletal muscle function deficits: a systematic review[J].Clin Interv Aging,2017(12):955-961.[22]Sato Y,Endo H,Oikawa H,et al.Sexual Difference in the Optimum Environmental Conditions for Growth and Maturation of the Brown Alga Undaria pinnatifida in the Gametophyte Stage[J].Genes (Basel),2020,11(8):944.[23]Park JS,Yoon T,Lee SH,et al.Immediate effects of kinesiology tape on the pain and gait function in older adults with knee osteoarthritis[J].Medicine (Baltimore),2019,98(45):e17880.[24]焦黛妍,邓海鹏,张若尘,等.脑卒中患者失语症发生的影响因子及预后[J].中国听力语言康复科学杂志,2019,17(5):370-373.

相似文献/References:

[1]尹美丽.早期康复护理对脑卒中临床疗效及偏瘫肢体功能的影响分析[J].医学信息,2018,31(05):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
　YIN Mei-li.Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia[J].Medical Information,2018,31(22):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
[2]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
　YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Medical Information,2018,31(22):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[3]王晓强,张艳军,贾 琎,等.早期康复介入与脑卒中合并代谢综合征患者并发症的关系[J].医学信息,2018,31(08):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
　WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,et al.Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome[J].Medical Information,2018,31(22):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
[4]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
　LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Medical Information,2018,31(22):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
[5]邵俊丽.静息心率与脑卒中关系的研究[J].医学信息,2018,31(16):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
　SHAO Jun-li.Research on Relationship between Resting Heart Rate and Stroke[J].Medical Information,2018,31(22):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
[6]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(22):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[7]平兴团,赵富强,杨 飞,等.家庭康复管理对卒中患者运动功能恢复的远期影响[J].医学信息,2018,31(16):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
　PING Xing-tuan,ZHAO Fu-qiang,YANG Fei,et al.Long-term Effects of Family Rehabilitation Management on Recovery of Motor Function in Stroke Patients[J].Medical Information,2018,31(22):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
[8]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
　LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Medical Information,2018,31(22):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[9]赵富强,平兴团,杨 飞,等.重心重塑训练对Pusher综合征的疗效观察[J].医学信息,2018,31(20):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
　ZHAO Fu-qiang,PING Xing-tuan,YANG Fei,et al.Therapeutic Effect of Center of Gravity Remodeling Training on Pusher Syndrome[J].Medical Information,2018,31(22):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
[10]包娜娜,刘 超.高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍的疗效观察[J].医学信息,2018,31(22):104.[doi:10.3969/j.issn.1006-1959.2018.22.028]
　BAO Na-na,LIU Chao.Therapeutic Effect of High Frequency Repetitive Transcranial Magnetic Stimulation on Deglutition Disorders after Sequelae Stroke[J].Medical Information,2018,31(22):104.[doi:10.3969/j.issn.1006-1959.2018.22.028]

更新日期/Last Update: 1900-01-01