早期康复路径对急性脑梗塞患者功能恢复影响的系统评价
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摘要
目的系统评价早期康复路径对急性脑梗塞患者功能恢复的影响,为临床护理提供参考依据。方法检索中外文献数据库(检索CNKI、VIP、Wang Fang及Pub Med、the Science Dicrect、Cochrane Library数据库),收集与本研究有关的随机对照试验,文献质量评价后,用Stata12.0软件进行Meta分析。结果共纳入相关文献15篇,共1 307例患者(对照组639例,试验组668例),结果显示:与对照组相比,干预组患者运动功能明显得到改善[SMD=0.86, 95%CI(0.70, 1.02),P<0.001],神经功能缺损程度明显降低[SMD=-0.85, 95%CI(-1.21,-0.49), P<0.001],神经功能康复程度得到有效提高[RR=1.24, 95%CI(1.12, 1.37), P<0.001],2组间差异均具有统计学意义。结论当前证据显示对急性脑梗塞患者实施早期康复训练能促进患者运动功能恢复,改善神经功能缺损程度,提高生活质量。
Objective The aim of this study was to systematically evaluate the effect of early rehabilitation pathway on functional recovery of patients with acute cerebral infarction and provide reference for clinical nursing. Methods Chinese and foreign literature databases were searched(CNKI, VIP, WangFang, PubMed, the Science Dicrect, and Cochrane Library databases). Randomized controlled trials related to this study were collected. After quality evaluation of the literatures, metaanalysis was performed using Stata12.0 software. Results A total of 15 related articles were included with 1307 patients(639 in the control group and 668 in the experimental group). The results showed that the motor function of the intervention group was significantly improved compared with the control group [SMD=0.86, 95%CI(0.70, 1.02), P<0.001]. The degree of neurologic impairment was significantly reduced [SMD =-0.85, 95% CI(-1.21,-0.49), P <0.001], and the degree of neurological function recovery was effectively improved [RR =1.24, 95% CI(1.12, 1.37), P <0.001]. The difference between the two groups were statistically significant. Conclusion Current evidence showed that early rehabilitation training for patients with acute cerebral infarction could promote recovery of motor function, improve neurological deficits, and improve quality of life.
Objective The aim of this study was to systematically evaluate the effect of early rehabilitation pathway on functional recovery of patients with acute cerebral infarction and provide reference for clinical nursing. Methods Chinese and foreign literature databases were searched(CNKI, VIP, WangFang, PubMed, the Science Dicrect, and Cochrane Library databases). Randomized controlled trials related to this study were collected. After quality evaluation of the literatures, metaanalysis was performed using Stata12.0 software. Results A total of 15 related articles were included with 1307 patients(639 in the control group and 668 in the experimental group). The results showed that the motor function of the intervention group was significantly improved compared with the control group [SMD=0.86, 95%CI(0.70, 1.02), P<0.001]. The degree of neurologic impairment was significantly reduced [SMD =-0.85, 95% CI(-1.21,-0.49), P <0.001], and the degree of neurological function recovery was effectively improved [RR =1.24, 95% CI(1.12, 1.37), P <0.001]. The difference between the two groups were statistically significant. Conclusion Current evidence showed that early rehabilitation training for patients with acute cerebral infarction could promote recovery of motor function, improve neurological deficits, and improve quality of life.
引文
[1]唐雅琦.早期康复护理对急性脑梗塞肢体功能恢复的影响分析[J].首都食品与医药,2018,25(10):74.
[2]邢宏大.早期康复治疗对急性脑梗塞患者生活质量的影响分析[J].按摩与康复医学,2018,9(3):15-16.
[3]脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,(6):62-64.
[4]鱼红,张会仙,曹维娜,等.早期护理康复干预对急性脑梗塞患者的临床疗效[J].国际精神病学杂志,2016,43(4):704-706.
[5]楼敏芳,孙沐炎,姜纪敏,等.益气通络汤联合早期康复对急性脑梗塞患者神经功能缺损和牛津残障评分的影响[J].中华中医药学刊,2013,31(1):65-66.
[6]柳霞,贾守凯,马新平.血栓通结合早期康复治疗急性脑梗塞的临床研究[J].中医学报,2011,26(1):77-78.
[7]韦献萍,岑婉平,胡雪玲,等.早期康复护理干预在急性脑梗塞患者中的应用价值[J].首都食品与医药,2016,(8):99-100.
[8]楼敏芳,孙沐炎,严雪忠,等.熄风通络饮联合早期康复治疗急性脑梗塞的临床研究[J].中国中医药科技,2011,18(4):282-283.
[9]许献文,余沛扬.恩必普软胶囊联合早期康复训练治疗老年急性脑梗塞效果观察[J].右江民族医学院学报,2009,31(3):374-375.
[10]屈检纯.急性脑梗塞患者的早期康复护理[J].当代护士(学术版),2007,(6):30-31.
[11]张华清.急性脑梗塞患者的早期康复治疗与护理[J].中国民族民间医药,2010,19(18):160-160.
[12]陈光梅.急性脑梗塞患者的早期康复护理[J].大家健康(中旬版),2014,8(2):233-233.
[13]李慧超.早期一对一康复训练对急性脑梗塞患者功能恢复的护理效应[J].现代康复,2000,(6):838.
[14]代伟,张捷.早期康复治疗在急性脑梗塞患者中的应用研究[J].河北医学,2011,17(12):1606-1609.
[15]孙剑.早期康复治疗对急性脑梗塞的疗效观察[J].内蒙古中医药,2013,32(9):11-12.
[16]岑春兰.早期康复训练在急性脑梗塞治疗中的作用[J].右江民族医学院学报,2003,25(4):481-482.
[17]管健,王俊霞,刘耀东.早期康复训练在急性脑梗塞治疗中的疗效观察[J].中国民族民间医药,2011,20(7):89.
[18]高丽萍,霍春暖,张雅静,等.早期康复训练对急性脑梗塞患者功能恢复的影响[J].中华护理杂志,1999,(7):7-8.
[19]郭文杰.熄风通络饮联合早期康复治疗急性脑梗塞的临床研究[J].双足与保健,2018,27(2):128, 130.
[20]陈赛庆.急性脑梗塞患者98例临床护理研究[J].大家健康(下旬版),2014,8(1):347-347.
[21]李俊英.康复护理干预对老年脑梗塞患者肢体功能恢复的作用[J].贵阳中医学院学报,2013,35(6):237-238.
[2]邢宏大.早期康复治疗对急性脑梗塞患者生活质量的影响分析[J].按摩与康复医学,2018,9(3):15-16.
[3]脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,(6):62-64.
[4]鱼红,张会仙,曹维娜,等.早期护理康复干预对急性脑梗塞患者的临床疗效[J].国际精神病学杂志,2016,43(4):704-706.
[5]楼敏芳,孙沐炎,姜纪敏,等.益气通络汤联合早期康复对急性脑梗塞患者神经功能缺损和牛津残障评分的影响[J].中华中医药学刊,2013,31(1):65-66.
[6]柳霞,贾守凯,马新平.血栓通结合早期康复治疗急性脑梗塞的临床研究[J].中医学报,2011,26(1):77-78.
[7]韦献萍,岑婉平,胡雪玲,等.早期康复护理干预在急性脑梗塞患者中的应用价值[J].首都食品与医药,2016,(8):99-100.
[8]楼敏芳,孙沐炎,严雪忠,等.熄风通络饮联合早期康复治疗急性脑梗塞的临床研究[J].中国中医药科技,2011,18(4):282-283.
[9]许献文,余沛扬.恩必普软胶囊联合早期康复训练治疗老年急性脑梗塞效果观察[J].右江民族医学院学报,2009,31(3):374-375.
[10]屈检纯.急性脑梗塞患者的早期康复护理[J].当代护士(学术版),2007,(6):30-31.
[11]张华清.急性脑梗塞患者的早期康复治疗与护理[J].中国民族民间医药,2010,19(18):160-160.
[12]陈光梅.急性脑梗塞患者的早期康复护理[J].大家健康(中旬版),2014,8(2):233-233.
[13]李慧超.早期一对一康复训练对急性脑梗塞患者功能恢复的护理效应[J].现代康复,2000,(6):838.
[14]代伟,张捷.早期康复治疗在急性脑梗塞患者中的应用研究[J].河北医学,2011,17(12):1606-1609.
[15]孙剑.早期康复治疗对急性脑梗塞的疗效观察[J].内蒙古中医药,2013,32(9):11-12.
[16]岑春兰.早期康复训练在急性脑梗塞治疗中的作用[J].右江民族医学院学报,2003,25(4):481-482.
[17]管健,王俊霞,刘耀东.早期康复训练在急性脑梗塞治疗中的疗效观察[J].中国民族民间医药,2011,20(7):89.
[18]高丽萍,霍春暖,张雅静,等.早期康复训练对急性脑梗塞患者功能恢复的影响[J].中华护理杂志,1999,(7):7-8.
[19]郭文杰.熄风通络饮联合早期康复治疗急性脑梗塞的临床研究[J].双足与保健,2018,27(2):128, 130.
[20]陈赛庆.急性脑梗塞患者98例临床护理研究[J].大家健康(下旬版),2014,8(1):347-347.
[21]李俊英.康复护理干预对老年脑梗塞患者肢体功能恢复的作用[J].贵阳中医学院学报,2013,35(6):237-238.