中西医结合康复护理方案优化在脑梗死后遗症中的临床应用效果  

Integrative rehabilitation optimization care in the clinical application of sequelae of cerebral infarction

作　　者：冯艳华[1] 王如然[2] 丁文涛[3] 张蕊[4] 高妍彦[3] 常丽英[5] 

机构地区：[1]中国中医科学院广安门医院南区康复中心,北京市102618 [2]中国中医科学院广安门医院外科,北京市102618 [3]中国中医科学院广安门医院针灸科,北京市102618 [4]中国中医科学院广安门医院清源中心,北京市102618 [5]中国中医科学院广安门医院襄樊市中心医院神经内科,北京市102618

出　　处：《中国心血管病研究》2015年第7期636-639,共4页Chinese Journal of Cardiovascular Research

基　　金：湖北省卫生厅课题（项目编号：JX3851）

摘　　要：目的探讨中西医结合康复护理方案优化在脑梗死后遗症中的临床应用效果。方法脑梗死后遗症患者140例，根据随机抽签原则分为治疗组与对照组各70例。对照组给予常规西医干预；治疗组在对照组干预的基础上给予积极的肢体功能锻炼与针灸干预。持续干预4周。结果干预治疗后，对照组和治疗组的有效治疗率分别达到82．9％和95．7％，治疗组的有效率经过卡方检验明显高于对照组（P〈0．05）。干预前两组眩晕和不稳程度评分分别为（6．00±1．00）分和（5．99±1．12）分，差异无统计学意义，干预后治疗组的眩晕和不稳程度评分[（0．89±0．13）分]明显低于对照组[（1．55±0．42）分]（P〈0．05）。两组干预后的日常生活能力与运动功能评分都明显高于干预前，同时干预后治疗组的运动功能与日常生活能力评分显著优于对照组（P〈0．05）。对照组和治疗组患者在干预过程中未出现严重不良反应。结论对脑梗死后遗症应用中西医结合康复护理方案优化能有效改善临床症状，促进日常生活能力与运动功能的恢复，安全性好，可提高预后疗效。Objective To investigate the integrative rehabilitation optimization care ways and effects in the clinical application of sequelae of cerebral infarction. Methods 140 patients with sequelae of cerebral infarc- tion based on a random draw into the treatment group and the control group, the control group were treated with conventional Western medicine intervention, the treatment group were added received positively limb function exer- cises and acupuncture intervention that continued intervention 4 weeks. Results The response rates in the treat- ment group and the control group after intervention were 95.7% and 82.9% respectively that compared by the chi- square test were significantly difference （P〈0.05）. Before the intervention, the dizziness and instability scores （6.00±1.00）points and （5.99±1.12）points compared in the two groups showed no significant difference, after the intervention, the dizziness and instability severity scores in the treatment group （0.89±0.13）points were significantly lower than the control group（1.55±0.42）points（P〈0.05）. The daily living and motor function scores after interven- tion in the two groups were significantly higher than the intervention, and the daily living and motor function scores after intervention in the treatment group were significantly higher （P〈0.05）. Two groups of patients did not appear serious adverse events in the intervention process. Conclusion Integrative rehabilitation optimization care in the clinical application of sequelae of cerebral infarction can effectively improve the clinical symptoms, and promote the recovery of daily living and motor function, its safety, and to improve the prognosis of efficacy.

关 键 词：脑梗死 后遗症 针灸 护理方案 

分 类 号：R743[医药卫生—神经病学与精神病学]