目的：探讨急性脑梗死患者超早期活动的安全性与有效性。方法选择2014年1月－2015年1月我院神经内科入院的急性颈内动脉系统脑梗死患者100例，随机分为对照组与观察组。对照组按神经内科专科护理常规进行护理，病程中指导早期康复运动，观察组在与对照组相同的治疗和护理的基础上给予超早期活动干预。结果随访期末两组患者均未出现死亡病例；两组患者神经功能缺损进展、梗死后出血比较，差异无统计学意义（P＞0．05）；观察组并发症发生率明显较对照组少，出院时美国国立卫生院卒中量表（NIHSS）评分低于对照组，平均住院日短于对照组，差异有统计学意义（P＜0．05）；观察组出院时及卒中后3个月的BI指数、生活质量评分显著高于对照组，差异有统计学意义（P＜0．05）。结论超早期活动应用于急性脑梗死患者早期康复中是安全的，可以减少急性脑梗死后因长期卧床而导致的严重并发症的发生，可以改善患者神经功能缺损程度，促进患者日常生活活动能力的恢复速度与程度，提高生活质量。%Objective To explore the safety and effectiveness of very early mobilization on acute cerbral infarction patients .Method T his study w as prospective randomized controlled trial ,100 patients w ith acute ischemic stroke ad‐mitted in the neurology department of Nanjing Drum Towel hospital from January 2014 to January 2015 was select‐ed and randomly divided into routine mobilization group and very early mobilization group .Result There were no dead case at the end of follow‐up ,progressive of nervous functional defects ,cranial hemorrhage after infarct between the two groups .There was no significant differences (P> 0 .05) .Compared with the complications and NIHSS at pa‐tients discharged ,the average length of stay of two groups was significantly differences(P< 0 .05);The ADL and quality of life in the two groups at 14 days after stroke onset or discharged and 3 months after stroke onset was sig‐nificant differences (P<0 .05) .Conclusion Very early mobilization applied for acute cerbral infarction patients was safety ,and might reduce severe complication due to long‐term bed after stroke onset ,and improve neurologic impair‐ment ,promote the speed and extent of activities of daily life recovery and enhance quality of life of patients .
展开▼
