To evaluate the effect of nursing and early limb rehabilitation training in patients with cerebral hemorrhage with hemiplegia
评价高血压脑出血偏瘫患者护理及早期肢体康复训练的效果

摘要

目的 探究高血压脑出血偏瘫的有效护理措施与早期肢体康复训练的临床意义。方法 随机均分2023年5月-2025年4月本院接诊高血压脑出血偏瘫病人（N=78）。试验组采取综合护理与早期肢体康复训练，对照组行常规护理。对比FMA评分等指标。结果 关于FMA评分：干预后，试验组（87.02±4.17）分，对照组（72.37±5.08）分，差异显著（P＜0.05）。总有效率：试验组97.44%，对照组82.05%，P＜0.05。Barthel指数：干预后，试验组（88.53±3.71）分，对照组（74.06±5.45）分，差异显著（P＜0.05）。结论 高血压脑出血偏瘫病人用综合护理和早期肢体康复训练，肢体功能和日常生活能力均显著提升，护理效果也更高。

Abstract

Objective To investigate the clinical significance of effective nursing measures and early limb rehabilitation training for patients with hemiplegia due to hypertensive cerebral hemorrhage.
Methods A total of 78 patients were randomly assigned to the experimental group (n = 78) and the control group (n = 78) from May 2023 to April 2025 at our hospital. The experimental group received comprehensive nursing care and early limb rehabilitation training, while the control group received routine nursing care. The FMA scores and other indicators were compared.
Results Regarding the FMA scores, after the intervention, the experimental group scored 87.02 ± 4.17, and the control group scored 72.37 ± 5.08, with a significant difference (P <0.05). The overall effectiveness rate was 97.44% in the experimental group and 82.05% in the control group, both P <0.05. Regarding the Barthel Index, after the intervention, the experimental group scored 88.53 ± 3.71, and the control group scored 74.06 ± 5.45, with a significant difference (P <0.05).
Conclusion   For patients with hemiplegia due to hypertensive cerebral hemorrhage, comprehensive nursing care and early limb rehabilitation training significantly improved limb function and daily living abilities, and the nursing outcomes were more favorable.