Based on the theoretical basis of the plasticity of the brain, the purpose of rehabilitation training is to stimulate the damaged body through external movements and sensations, so that it can restore the lost function to adapt to the functional changes of new life and work. In recent years, rehabilitation training on the neurological function of cerebral infarction has become the focus of many scholars.

Araki Y et al showed that rehabilitation training can promote transient changes in neurological activity during exercise, strengthen the activity of the cerebral cortex, increase the thickness of the cerebral cortex and protein content, and promote the formation of new blood vessels [4]. Nagai K et al pointed out that early rehabilitation can also regulate the expression of inflammatory factors and reduce the nervous system inflammation, which can more effectively promote the recovery of neurological function in patients with acute cerebral infarction. Rehabilitation can promote the connection of axons in the brain of the patient, and realize the establishment of collateral circulation and recombination of the contralateral brain, and effectively exert the residual function of the brain, which makes the motor function and self-care ability of the patient recover quickly [5]. Studies by Gao J et al have also shown that there is a time-related rehabilitation-mediated cortical reorganization after cerebral infarction. Compared with the late rehabilitation group, the early rehabilitation group can better preserve the topographic map of the cortex. Rehabilitation training in the early stages of brain death can stimulate the function of the remaining cortex (the ipsilateral and contralateral side of the infarcted tissue). Moreover, if the intervening time of rehabilitation is prolonged, the sensitivity to this stimulus will decrease [6]. Boji BM et al. pointed out that within two weeks after stroke, peripheral and contralateral areas of the infarcted lesion will temporarily produce some cytokines and proteins related to nerve repair. Many factors that promote nerve growth will change within a few weeks. The expression of these factors not only enhances the remodeling function of the brain, but also prompts the brain to respond most to rehabilitation during this period [7]. Lin Z et al. observed the effects of early rehabilitation training on brain damage and recovery in mice after cerebral infarction in 77 animal models of middle cerebral artery occlusion. The results showed that compared with the control group, the motor function of the rehabilitation group was significantly improved, and the volume of cerebral infarction was reduced. Moreover, the number of NGF immunohistochemical cells around the lesion was significantly increased, indicating that early rehabilitation training can help the recovery of brain function damage (Lin Z et al. 2017) [8]. Animal studies such as Kawahara T showed that the exercise function of the rats with cerebral infarction was improved after early rehabilitation and the infarct size was reduced [9]. Functional magnetic resonance imaging, such as Bae HW, confirms that rehabilitation can promote brain function reorganization [10]. Wan QI et al analyzed the changes of cortical functional areas of active and passive movements before and after rehabilitation in patients with partial pain by fMRI. It was found that the complementary functional area of the frontal cortex has a localized excitatory area. The display of the finger movement function area of the affected limb is consistent with its clinical improvement in some patients after receiving systemic rehabilitation [11]. Zhu F et al applied fMRI to find that patients with stroke had extensive activation in the ipsilateral and contralateral cerebral cortex activation areas after hand-exercise treatment after mandatory exercise therapy (CIMT). The activation phenomenon was significantly reduced after 2 weeks. The conclusion that use dependence affects cerebral cortical function reorganization is obtained [12]. Yu C and other experiments found that in the structure of the cerebral cortex, the most capable plasticity is the nerve cells in the cortex. Upper limb movement involves numerous nerve cells in the motor cortex [13].

China has made active explorations in continuous rehabilitation care. However, rehabilitation care started late, and there are still some problems due to the relatively tight medical resources. In particular, there are few research results on the effect of path type early rehabilitation nursing on the recovery of neurological function in the nursing of patients with cerebral infarction. Further research is still needed.

Table 1 is the NIHSS scores for the two groups of patients before and after the intervention. As can be seen from Table 1, the patients in the experimental group scored significantly lower after the intervention than the control group. The P value was less than 0.05 and was statistically significant. In the experimental group, the NIHSS score was lower than that of the control group after 2 and 12 weeks of intervention (P<0.05) (Table 1).

The above data show that with the increase of treatment time, the neurological function of patients has been restored. However, in the experimental group, the neurological function of patients has been restored more obviously and the effect is better. This can indicate that early rehabilitation nursing by path can play a positive role in the recovery of neurological function of patients with cerebral infarction. Early rehabilitation intervention can increase the average cerebral blood flow speed, establish collateral circulation, restructure brain function, and alleviate inflammation of nervous system, which may improve the neurological function of patients after stroke.

The study in this paper shows that as the treatment time increases, the patient’s nerve function is restored. However, the neurological function of the experimental group recovered more obviously and the effect was better. This may indicate that path type early rehabilitation care can play a positive role in the recovery of neurological function in patients with cerebral infarction. The clinical pathway refers to a standardized work, a specific process whose main exercise is in the measurement of common diseases and multiple diseases. In the process of nursing, the staff of our department mainly develop, adjust and implement the nursing plan for the patients according to the specific conditions of the patients through the responsible nurses and the rehabilitation teachers. A planned, personalized care program can improve patient compliance and rehabilitation, which can also enable caregivers to be more informed during the work process, so as to avoid blind care of the caregiver. Recovery of brain function in patients is the focus of central nervous system recovery. For the cerebral cortex, the reorganization of function is limited. Functional training helps the development of the cerebral cortex and contributes to the recovery of the central nervous system. Gan Zhaoru and other studies have found that early rehabilitation interventions increase the average blood flow velocity of the brain, and establish collateral circulation, and recombine brain function, and reduce the inflammatory response of the nervous system, which may improve the neurological function of patients after stroke. In summary, path type early rehabilitation care for patients with cerebral infarction can enable caregivers to perform quality care services and help patients recover their nerve function and daily activities as soon as possible.

Cerebral infarction is a common localized brain dysfunction disease. The blood circulation disorder in the brain causes hypoxia and ischemia in the brain tissue, which eventually leads to localized brain tissue necrosis or brain softening. Based on this, the effects of path-based early rehabilitation nursing on the recovery of neurological function in patients with cerebral infarction are studied in this paper. 112 patients with acute cerebral infarction in our hospital were randomly divided into two groups. The control group used conventional treatment methods. The experimental group used path type early rehabilitation care based on conventional treatment methods and observed the curative effect. The results show that through the training of Bobath, the active activities of patients, and the activities of family members to promote patient activities, the frequency and intensity of rehabilitation training of limbs are effectively increased, and the recovery of limb movement patterns is promoted. After the above rehabilitation nursing measures, the total effective rate of limb function recovery in the observation group was 96.67%, which was significantly higher than that in the control group (83.33%, P<0.05). It is suggested that the nursing group of the observation group can promote the recovery of limb motor function, and the effect is better than the control group. The activity index of daily living and the score of neurological deficit in the observation group were significantly better than those in the control group (P<0.05). It is suggested that the observation group nursing program can significantly improve the patient’s nerve function and improve the ability of daily living activities. This proves that the use of path-based early rehabilitation care for patients with cerebral infarction can significantly promote the recovery of limb motor function, and can improve the neurological function of patients and improve the ability of daily living activities, which is worthy of clinical application. This study was a clinical subject, and the subjects were randomly divided into groups, but failed to achieve double-blind enrollment. More confounding factors have some interference with the study, such as the size of the infarct, the age of the patient, blood pressure, sugar, vascular stenosis and other factors may affect the results of this research topic, which still needs further improvement.