After stroke, the affected side of the patient is often unable to adjust the posture as normal people because of neurological deficits.
中风后的患者的患侧由于神经功能缺损,往往不能像正常人一样调节姿势。
The prolonged use of the limbs often produces joint deformities and muscle atrophy, and placing a position for a long time will affect the blood circulation of the limbs, resulting in the risk of pressure sores.
肢体长时间的废用,往往会产生关节畸形和肌肉萎缩,长时间摆放一个姿势,会影响肢体血液循环,而产生压疮的风险。
The main function of good limb position is to prevent pressure sore, prevent limb joint contracture, relieve spasm and maintain good blood circulation.
良肢位的摆放主要作用体现在防止压疮、预防肢体关节挛缩、减轻痉挛和维持良好的血液循环四个方面。
At the same time, it should be noted that patients with stroke bed need to help turn them every 1-2 hours.
同时需要注意,中风卧床的患者,需要每1-2小时帮助其翻身一次。
Taking supine position as an example, the shoulder and upper limb of hemiplegia should be placed on the pillow, and the affected shoulder should keep forward and outward rotation;
以仰卧位为例,偏瘫侧肩膀与上肢需要放在枕头上,其中患肩保持前伸、外旋;
The upper limb of the affected side should be abducted by 20-40°. The elbow, wrist, and knuckles should be straight as far as possible, and the palm should be upward, with the help of a finger splinter if necessary.
患侧上肢需要外展20-40°,肘关节、腕关节、指关节尽量伸直,掌心向上,必要时可借助分指器。
A soft pillow should be placed on the hip of the affected side, and a pillow should be placed on the outside of the knee joint of the lower limb of the affected side to place the adductor muscle injury caused by external rotation of the hip joint, and a small pillow should be placed under the knee to keep the knee slightly flexion with the toes facing up.
患侧臀部垫软枕,患侧下肢膝关节外侧需要放置枕头放置髋关节外旋导致的内收肌拉伤,膝下需要垫一小枕,保持膝关节略屈曲,足尖朝上。
4. Prevent the recurrence of stroke
四、预防中风再次发生
A stroke is not something that can happen once and never happen again.
中风并不是发作一次就不会再发生的。
The recurrence of stroke, and we often say relapse is not a concept.
中风的再发,与我们常说的复发并不是一个概念。
Because of changes in the intracranial circulation environment, the risk of cerebrovascular accidents in other parts of the patient after stroke is much higher than that of the average person.
因为颅内循环环境的变化,中风过的患者再患其他部位脑血管意外的风险会比一般人要高出许多。
Therefore, for patients with a first stroke, family members must pay attention to the physical conditions and symptoms of the elderly to prevent the damage of a second stroke on the patient.
所以针对初次中风的患者,家属一定要注意关注老年人身体情况以及症状变化,防止再发中风对病人的再一次损害。
5. Keep a good mood
五、保持心情舒畅
The psychological toll of a stroke is immense.
中风对于一个人心理的打击是巨大的。
A normal active person, after suffering from the disease, in the face of hemiplegia, basically will have psychological and emotional problems.
一个正常的活蹦乱跳的人,在患该病后,面对半身不遂,基本都会出现心理情绪问题。
At this time, as family members, we should hold a sympathetic and understanding attitude and provide necessary help in life.
此时作为家属的我们型槽模具 一次性止血带 保定水处理设备 一次性止血带 保定空压机 北京真空泵,应该抱着同情、理解的态度,在生活中提供必要的帮助。
At the same time, encourage more communication with patients to help patients out of the shadow of the disease as soon as possible.
同时鼓励多与患者沟通,早日帮助患者走出疾病的阴影。