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脑中风不可怕 早期康复是关键--亲稳舆论引导监测室
2012-09-17
一般来说,中风患者或多或少会遗留偏瘫的后遗症,半身不遂或手脚不灵活。康复科专家称,这部分人如果一直不愿意动,手脚肌肉会萎缩,逐渐丧失了运动功能,重新走路就成了一件无法完成的事情。所以,尽早进行康复训练,功能恢复越好,后遗症也越轻。
Generally speaking,Stroke patients more or less will be left hemiplegia sequelae,Hemiplegia or clumsy.Rehabilitation department experts say,This part of the people if have been reluctant to move,Hands and feet muscles will atrophy,Gradually lost movement function,To walk became a cannot be done.so,Early rehabilitation training,The more good functional recovery,Sequela also the lighter.
早期离床、早期步行和早期生活自理是中风患者康复的重要原则。中山大学孙逸仙纪念医院康复科护长王颖敏说,在患者神志清醒后就应开始进行运动性康复治疗,比如缺血性脑中风的患者在发病后2-3天开始,出血性患者在发病后10-14天开始,合并心肌梗死者在发病后21天左右开始。家属首先帮助患者坐起来,从坐位训练开始。因为能不能保持坐位姿势,这是脑中风患者早期康复初诊时一个很简单的评价项目,它能反映患者的坐位平衡和躯干控制能力。在病人能独立坐稳后,便开始站位训练,基本上是从坐———站———走的训练过程。一般来说,从卧床到独立自主地走路至少要经过六个阶段练习,需要2~3个月的训练时间。
From the bed early/Early walking and early life physical is the important principle that the rehabilitation stroke patients.Sun yat-sen university sun yat-sen memorial hospital rehabilitation department guard long WangYingMin said,In the patients after sane should start on motility rehabilitation therapy,Such as ischemic stroke patients in the 2-3 days after start,In patients with hemorrhagic disease 10-14 days after the start,Merge the myocardial infarction in incidence after 21 days or so start.Family members first help patients sit up,The start of training from the seat.Because can keep the seat position,This is the early rehabilitation stroke patients to begin with a very simple evaluation project,It can reflect the seat with balance and trunk control ability.In the patients after can independently sit tight,Began to stance training,Basically from sit -- station - walk training process.Generally speaking,From the bed to independently to walk after a period of at least six phase practice,Need 2 ~ 3 months of training time.
对于中风卧床的病人,除了要自己学会主动锻炼外,病人亲属可以帮助其活动关节,比如做按摩、推拿肌肉、韧带及穴位,以促进血液循环,维持肌肉关节、韧带活动度,防止肌肉废用性萎缩和关节韧带挛缩。总的来说,被动活动,每次5~10分钟,上下午各1次,动作应稳健,手法要轻,避免粗暴,以防肌肉韧带关节的损伤。
For stroke patients in bed,In addition to learn how active exercise outside,The patient relatives can help its activities joint,Such as massage/Massage muscle/Ligament and acupuncture points,In order to promote blood circulation,Maintain muscle joints/Ligament activity,Prevent muscle disuse atrophy and joint ligament contracture.In general,Passive activities,Every 5 ~ 10 minutes.,Each one in the morning and afternoon,Movements should be robust,Manipulation should be light,Avoid rough,In case of joint muscle ligament damage.
王颖敏还指出,患者的运动功能康复训练效果的快、优、劣主要取决于家庭成员的关心程度。通常,与子女同住者比不与子女同住的卒中老人功能恢复得快。同时,患者在完成每一步时,可能要花费很长时间,这时陪护人员及家属要有极大的耐心,对其每一个微小的进步,都予以恰当的肯定和赞扬。(记者 张华 通讯员 王海芳)
WangYingMin also pointed out that,The movement of the patients with functional rehabilitation training effect quickly/optimal/Bad depends on the degree of concerned family members.usually,And living with their children than people who are not living with their children with stroke old man function recovered quickly.At the same time,Patients with complete each step,May take a long time,At this time to personnel and their families to have a great deal of patience,The every minute progress,All shall be appropriate affirmation and praise.(Reporter correspondent zhang hua WangHaiFang)
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