摘要
目的 探究早期双上肢康复护理联合个性化营养护理对肝豆状核变性继发肌力障碍患者的影响。方法 选取2024年1月-2024年12月本院收治的肝豆状核变性继发肌力障碍患者60例进行研究，采取数字表法分组，对照组行常规护理，观察组行早期双上肢康复护理联合个性化营养护理。采取Fugl-Meyer肌力评估量表（Fugl-Meyer Assessment Scale）评估护理前后患者上肢与下肢的肌力评分；统计两组护理的效率。结果 护理前两组肝豆状核变性继发肌力障碍患者的肌力评估无对比意义，护理后观察组的Fugl-Meyer评分偏低表明肌力障碍程度低P<0.05。观察组护理有效率偏高P<0.05。结论 针对肝豆状核变性继发肌力障碍实施早期双上肢康复护理联合个性化营养护理，有助于提升患者肌力水平，同时可提升整体的护理质量。
关键词： 早期双上肢康复护理；个性化营养护理；肝豆状核变性；肌力障碍
Abstract
Objective To investigate the impact of early bilateral upper limb rehabilitation combined with personalized nutritional care on patients with hepatolenticular degeneration secondary to muscle dysfunction. Methods A total of 60 patients with hepatolenticular degeneration secondary to muscle dysfunction admitted to our hospital from January 2024 to December 2024 were selected for study. The patients were divided into two groups using a digital table method; the control group received routine care, while the observation group received early bilateral upper limb rehabilitation combined with personalized nutritional care. The Fugl-Meyer Muscle Strength Assessment Scale (Fugl-Meyer Assessment Scale) was used to evaluate the muscle strength scores of both upper and lower limbs before and after care. The effectiveness of the two groups' care was statistically analyzed. Results Before care, there was no significant difference in muscle strength assessment between the two groups of patients with hepatolenticular degeneration secondary to muscle dysfunction. After care, the lower Fugl-Meyer score in the observation group indicated a lower degree of muscle dysfunction P<0.05. The higher effective rate of care in the observation group P<0.05. Conclusion Implementing early bilateral upper limb rehabilitation combined with personalized nutritional care for patients with hepatolenticular degeneration secondary to muscle dysfunction helps improve muscle strength levels and enhances overall care quality.
Key words： Early rehabilitation care of both upper limbs; Personalized nutrition care; Wilson's disease; Muscle strength disorder
参考文献 References
[1] 郑晓钰,秦雨,金珊,等.头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床研究[J].上海针灸杂志, 2024, 43(5):516-520.
[2] 王玉,王苏悦,艾文龙,等.肝豆状核变性并发肌张力障碍持续状态临床分析[J].中国神经精神疾病杂志,2023, 49(5): 280-286.
[3] 郑惠敏,毛澄源,秦洁,等.1例表现为亚急性起病伴肌张力下降等不典型症状的肝豆状核变性[J].中风与神经疾病杂志,2021,38(6):3.
[4] 陈慧,许翠萍.精准护理联合A型肉毒毒素治疗肝豆状核变性继发肌张力障碍的干预效果[J].吉林医学,2023, 44(5): 1408-1411.
[5] 许芸,汪世靖,赵蕊,等.基于表面肌电信号特征的肝豆状核变性下肢肌张力障碍临床评估研究[J].中风与神经疾病杂志,2025,42(1):13-18.
[6] 张海燕,肖洪波,朱庆军,等.养阴通督针法结合放血疗法治疗肝豆状核变性肌张力障碍的疗效观察[J].中医临床研究,2021,13(15):3.
[7] 杨玲俐,王晓平.1例首用青霉胺治疗效果不佳脑型肝豆状核变性病例分析[J].世界临床药物,2022(4):43.
[8] 杨柳,郭松伟,高丽.肝豆状核变性并发系统性红斑狼疮一例[J].中国临床案例成果数据库,2021,03(01):E277-E277.