输液状态下变换体位对脑卒中偏瘫患者功能恢复的影响

目的：探讨脑卒中偏瘫患者输液状态下采取变换体位,促进患者功能康复、减少并发症的可行性及临床意义。方法：脑卒中偏瘫患者80例,随机分为A、B 2组各40例,均给予康复护理。静脉输液时,A组取常规卧位;B组交替使用卧位、斜坡位、坐位。比较2组患者输液时的重复穿刺率、输液前和输液完毕30 min后平卧时心率、呼吸和血压,治疗前和输液疗程结束后（4周）肺部感染率及压疮发生率,神经功能缺损程度、Barthel指数（BI）、平衡功能、上下肢肢体运动功能Brunnstrom及心理症状因子（SCL-90）评分变化。结果：输液4周后2组患者重复穿刺率、输液前后心率、呼吸及血压比较差异无显著性意义;与A组比较,B组肺部感染和压疮发生率及神经功能缺损程度评分显著降低;BI评分明显提高;上下肢Brunnstrom达5～6级的患者明显增多;SCL-90各因子分中,B组恐惧、焦虑、抑郁、敌对、人际关系、躯体化症状评分均明显降低,A组仅恐怖、抑郁症状评分下降（P〈0.05,0.01）。结论：脑卒中偏瘫患者于输液状态下定时变换体位,对并发症、促进患者肢体功能及心理康复有显著作用。

Effect of Changing Position on Functional Rehabilitation of Stroke Patients with Hemiplegia during Intravenous Infusion

Objective:To investigate the feasibility and clinical significance of changing position for stroke patients with hemiplegia during intravenous infusion.Methods:Eighty stroke patients with hemiplegia selected from February 2008 to November 2009 were randomly divided into control group(n=40) and observation group(n=40).During intravenous infusion,the control group took supine position,and the observation group was given supine,sitting and slope position intermittently.The following items were compared between...