Comparison of the effects of early limb rehabilitation and conventional nursing on motor function recovery in stroke patients
早期肢体康复与常规护理在脑卒中患者运动功能恢复中的效果比较

摘要

目的 探究早期肢体康复与常规护理在脑卒中患者运动功能恢复中的临床效果。方法 本研究选取神经内科80例脑卒中患者，根据治疗方法的不同分为研究组及对照组，每组40例。研究组接受神经内科早期肢体康复治疗，对照组接受常规护理。主要观察两组患者治疗前后的微循环指标变化，包括毛细血管管径、血流灌注速度、红细胞聚集率及水肿率。结果 治疗后，研究组在毛细血管管径、血流灌注速度改善明显优于对照组，红细胞聚集率及水肿率改善效果也显著优于对照组（P＜0.003）。结论 神经内科早期肢体康复可以显著改善脑卒中患者的微循环指标，促进运动功能的恢复，效果优于常规护理，应在临床上得到更广泛的应用。

Abstract

Objective To investigate the clinical effects of early limb rehabilitation and routine nursing on motor function recovery in stroke patients.
Methods A total of 80 stroke patients from the Department of Neurology were selected and divided into the study group and the control group, with 40 cases in each group. The study group received early limb rehabilitation treatment, while the control group received routine nursing. The main observation was the changes in microcirculation indicators before and after treatment, including capillary diameter, blood flow perfusion velocity, red blood cell aggregation rate, and edema rate.
Results After treatment, the study group showed significantly better improvements in capillary diameter and blood flow perfusion velocity compared to the control group, and the improvements in red blood cell aggregation rate and edema rate were also significantly better than those in the control group(P<0.003).
Conclusion   Early limb rehabilitation in the Department of Neurology can significantly improve the microcirculation indicators in stroke patients, promote motor function recovery, and is more effective than routine nursing. It should be more widely applied in clinical practice.