中西医结合护理干预措施在高血压脑出血患者中的应用效果及预后分析  

Integrative Care Interventions for Patients with Cerebral Hemorrhage and Prognosis Analysis

作　　者：游俊莉[1] 陈钢妹[1] 胡平浪[1] 练纯[2] 

机构地区：[1]温州医科大学附属第一医院神经内科,浙江温州325000 [2]温州医科大学附属第一医院针推理疗科,浙江温州325000

出　　处：《辽宁中医杂志》2015年第10期1984-1986,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:分析中西医结合护理干预措施在高血压脑出血患者中的应用效果及预后。方法:选择2013年12月—2014年12月本院收治的76例高血压脑出血患者,按照入院顺序将患者分为观察组(38例)和对照组(38例)。对所有患者实施床旁肢体功能康复训练及常规护理,观察组患者在此基础之上联合中医针灸治疗。对患者治疗后的临床疗效进行评价,观察两组患者各个时间段的神经功能缺损评分,按照ADL量表Balthei评分对日常活动能力测试进行评分,根据Hallis肢体功能评分表对其肢体功能进行评分。结果:观察组患者总的有效率94.74%,显著高于对照组78.95%,差异具有统计学意义(P<0.05)。干预后,观察组患者的神经功能缺损评分显著低于对照组,差异具有统计学意义(P<0.05)。观察组患者的Hallis评分(66.21±6.54)分,显著高于对照组(54.24±6.32)分,Balthei评分(74.25±8.32)分,也明显高于对照组(53.56±6.75)分,差异具有统计学意义(P<0.05)。结论:中西医结合护理干预措施在高血压脑出血患者中的应用效果良好,具有较好的预后,值得广泛推广使用。Objective： To analyze integrative care interventions application results in patients with cerebral hemorrhage and prognosis. Methods： During December 2013 to December 2014 in our hospital,76 cases of patients with cerebral hemorrhage,according to the order of admission,were divided into observation group（ 38 cases） and control group（ 38 cases）. All patients implemented bedside limb function rehabilitation and routine care. The observation group on the basis of routine care combined acupuncture treatment. Various time periods neurological deficit scores were observed. According to the ADL scale Balthei test,we evaluate the activities of daily living score and scored their limb function according to Hallis limb function score sheet. Results： The total effective rate was 94. 74% in the observation group which significantly higher than 78. 95% in the control group and the difference was statistically significant（ P〈0. 05）. After the intervention,the neurological deficit scores in the observation group were significantly lower than that of the control group and the difference was statistically significant（ P〈0. 05）. Hallis scores of patients in the observation group（ 66. 21 ± 6. 54） was significantly higher than（ 54. 24 ± 6. 32） points in the control group and Balthei score（ 74. 25 ± 8. 32） was significantly higher than（ 53. 56 ± 6. 75） points in the control group and the difference was statistically significant（ P〈0. 05）. Conclusion： Integrative care interventions for patients with cerebral hemorrhage had good effect and prognosis and it is worth widely used.

关 键 词：护理干预 高血压 脑出血 效果 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]