目的：设计制作一种带有康复功能的医用约束手套应用于脑卒中后肢体偏瘫伴置管患者中，评估其肢体约束保护效果和协助康复能力。

方法：选取2023年4月1日至2024年1月12日在福建医科大学附属第二医院神经内科住院，且符合入排标准的70例脑卒中后肢体偏瘫伴置管患者作为研究对象，按随机抽样法分为观察组和对照组各 35 例。观察组采用带有康复功能的医用约束手套进行保护性约束，对照组采用传统约束带进行保护性约束，2组患者均经过14 d的早期肢体锻炼及观察。采用神经内科身体约束核查表及Brunnstom评定量表对患者约束部位皮肤完整性、指端血运情况、瘫痪侧上肢运动能力、非计划拔管情况进行评估。

结果：2组患者的脑卒中类型、年龄、性别、文化程度、婚姻状况、医保费用支付方式、发生脑卒中次数、置管情况、瘫痪侧肢体情况差异均无统计学意义。在14 d干预及观察期间，观察组约束部位皮肤完整性比例高于对照组（P＝0.032），观察组约束部位指端血运良好患者比例高于对照组（P＝0.003），观察组瘫痪侧上肢运动能力改善高于对照组（P<0.001），差异均有统计学意义。而观察组与对照组的非计划拔管率无统计学差异（P＝0.112）。

结论：带有康复功能的医用约束手套能更好保护性约束脑卒中后肢体偏瘫伴置管患者，同时对瘫痪侧上肢运动功能有一定改善作用，促进了脑卒中患者的早期肢体康复。

Objective: To design and produce a type of medical restraint gloves with rehabilitation function for use in patients with post-stroke hemiplegia and catheterization, and evaluate its limb restraint protection effect and assisted rehabilitation ability.

Methods: 70 stroke patients with hemiplegia and catheterization who were admitted to the department of neurology in the Second Affiliated Hospital of Fujian Medical University from April 1, 2023 to January 12, 2024 and met the inclusion and exclusion criteria were selected as the study subjects. They were randomly divided into an observation group and a control group, with 35 patients in each group. The observation group used medical restraint gloves with rehabilitation function for protective restraint, while the control group used traditional restraint belts. Both groups of patients underwent 14 days of early limb exercise and observation. The neurology physical restraint checklist and Brunnstrom recovery stage were used to evaluate the skin integrity, fingertip blood flow, paralyzed upper limb movement ability, and unplanned extubation of the patient's restraint site.

Results: There was no statistically significant difference in stroke type, age, gender, educat on level, marital status, medical insurance payment method, number of strokes, catheterization status, and paralyzed limb condition between the 2 groups of patients. During the 14 day intervention and observation period, the proportion of skin integrity at the constraint site in the observation group was higher than that in the control group (P＝0.032), the proportion of patients with good fingertip blood flow at the constraint site in the observation group was higher than that in the control group (P＝0.003), and the improvement of upper limb motor ability on the paralyzed side in the observation group was higher than that in the control group (P<0.001), with statistically significant differences. There was no statistically significant difference in the unplanned extubation rate between the observation group and the control group (P＝0.112).

Conclusion: Medical restraint gloves with rehabilitation function can better protect and restrain patients with limb hemiplegia and catheterization after stroke, and have a certain improvement effect on the motor function of the paralyzed upper limb, promoting early limb rehabilitation of stroke patients.