导航中医药
标题:
[分享]脑溢血之康复锻炼及注意事项
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作者:
qylyome
时间:
2009-12-1 11:31
标题:
[分享]脑溢血之康复锻炼及注意事项
[HTML]<SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"><FONT size=3>一、脑溢血患者注意事项：</FONT></SPAN>
<FONT size=3><SPAN lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·首先需要卧床休息，要有乐观开朗的心态</SPAN><SPAN lang=EN-US>~`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">，对疾病的康复要有充分的信心，与我们密切配合，积极治疗，早日康复。</SPAN> <SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"> ·有的</SPAN><SPAN lang=EN-US><A href="http://www.gcnxn99.com/"><SPAN lang=EN-US style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"><SPAN lang=EN-US><FONT color=#000080>脑溢血</FONT></SPAN></SPAN></A></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">患者会出现一侧或</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">双侧手脚不能活动</SPAN><SPAN lang=EN-US>~</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">无力</SPAN><SPAN lang=EN-US>~</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">或者出现暂时性的不能说话，可能在日后生活中有一定影响，您对自己的疾病要有正确认识，只要及早药物控制，进行各种功能锻炼和语言康复训练（如数数</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">、看图说话等），并持之以恒，</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">这对</SPAN><SPAN lang=EN-US><A href="http://www.gcnxn99.com/"><SPAN lang=EN-US style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"><SPAN lang=EN-US><FONT color=#000080>瘫痪</FONT></SPAN></SPAN></A></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">的手脚及语言功能的康复有着积极的作用。</SPAN> <SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"> ·饮食上予高蛋白，高维生素</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">、</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">低脂清淡易消化营养丰富食物，如鱼类、豆制品、五谷、黄豆等，忌辛辣刺激、油腻食</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">物（如浓茶、咖啡</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">、油炸食物），多进蔬菜、水果，保持大便通畅。如有面肌瘫痪者，可进半流质，如奶糊、粥，进食时需</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">向健侧（无面瘫处）输送食物，喂食速度要慢，避免病</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">人呛咳，造成窒息。如病情危重，吞咽困难，医生</SPAN><SPAN lang=EN-US>``</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">会予以插胃管，给予鼻饲流质，保证营</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">养供给。</SPAN><SPAN lang=EN-US> </SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"> ·</SPAN><SPAN lang=EN-US><A href="http://www.gcnxn99.com/"><SPAN lang=EN-US style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"><SPAN lang=EN-US><FONT color=#000080>脑溢血<SPAN lang=EN-US>患者</SPAN></FONT></SPAN></SPAN></A></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">因为肢体受疾病</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">的影响出现对冷热</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">刺激感受迟钝，所以提醒家属禁忌在天冷时用热水袋等暖具帮助取暖。</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">否则会造成烫伤等严重后果。</SPAN><SPAN lang=EN-US> `</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"> ·病员肢体活动不利伴大小便</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">失禁，注意</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">保护皮肤，每次便后清洁肛周会阴皮肤，保持干燥，可适当涂抹爽身粉，每二</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">小时护士会予病人翻身、拍</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">背，避免瘫痪肢体皮肤长期受压坏死，发生褥疮。</SPAN> <SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·</SPAN><SPAN lang=EN-US><A href="http://www.gcnxn99.com/"><SPAN lang=EN-US style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';"><SPAN lang=EN-US><FONT color=#000080>脑出血</FONT></SPAN></SPAN></A></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">发病后</SPAN><SPAN lang=EN-US>1~2</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">周内，病情基本稳定时，可及早</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">进行患肢功能锻炼，每日三次，每次</SPAN><SPAN lang=EN-US>10~20</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">次不等，进行</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">按摩、被动活动，可防止关节粘连、肌肉萎缩。</SPAN><SPAN lang=EN-US>``</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">以后可增加锻炼次数，帮助尽早康复。</SPAN><SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">二、脑溢血患者的</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">锻炼方法</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·开始时做深</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">呼吸及简单的主动运动，着重偏瘫一侧手脚的伸展运动：肩外展、上肢伸展、下肢弯曲。</SPAN> <SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·运动间隙用枕</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">垫、木架维持肢体功能位，防止上肢屈曲、足下垂等畸形。</SPAN><SPAN lang=EN-US> </SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·可逐步增加坐</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">、立、行走练习，进行正确步态行走、上下楼。注意加强保护，防止跌伤等意外。</SPAN> <SPAN lang=EN-US>`</SPAN></FONT>
<FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">·上肢活动</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">功能初步恢复后，着重做爬墙、抓放物品、盘核桃等运动，加强自理能力练习：进餐、梳</SPAN><SPAN lang=EN-US>`</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: ';Times New Roman';; mso-hansi-font-family: ';Times New Roman';">洗、穿脱衣等。</SPAN><SPAN lang=EN-US> </SPAN></FONT>
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