目的 探讨“三期十步法”在急性脑卒中(ACI)患者护理中的应用及对神经功能、生活质量的影响。方法 选取我院 2017年1月-2017年12月收治的200例ACI患者为研究对象，以随机数字表法分为观察组(100例)和对照组(100例)。 对照组予以常规护理，观察组在对照组的基础上予以“三期十步法”护理措施。分别采用美国国立卫生院神经功 能缺损评分量表(NIHSS)、生活自理能力量表(ADL)以及脑卒中生活质量专用量表(SIS)评价两组患者护理前后的 神经功能缺损程度、自理能力及生活质量。结果 观察组的NIHSS显著低于对照组(P<0.05)，ADL显著高于对照组 (P<0.05)；观察组的SIS评分为(198.67±28.88)分，显著高于对照组的(175.34±26.39)分(P<0.05)。结论 “三期 十步法”运用于ACI患者的护理中，可有效改善神经功能，提高生活能力及生活质量。

Objective To explore the application of three-phase ten-step method in the nursing of patients with acute cerebral infarction (ACI) and its influence on neurological function and quality of life. Methods A total of 200 ACI patients admitted to our hospital from January 2017 to December 2017 were selected for the study and were divided into observation group (100 cases) and control group (100 cases) according to the random number table method. Control group was given routine nursing, and observation group was given three-phase ten-step method nursing measures on the basis of control group. The National Institutes of Health Stroke Scale (NIHSS), Activities of Daily Living (ADL) and Stroke Impact Scale (SIS) were used to evaluate the neurological deficits degree, self-care ability and quality of life in the two groups before and after nursing. Results The NIHSS in observation group was significantly lower than that in control group (P<0.05), and the ADL was significantly higher than that in control group (P<0.05). The SIS score in observation group was significantly higher than that in control group [(198.67±28.88) points vs (175.34± 26.39) points] (P<0.05). Conclusion Three-phase ten-step method in the nursing of ACI patients can effectively improve neurological function, and promote living ability and quality of life.