奥拉西坦联合长春西汀治疗脑梗死后遗症的心理护理体会  

Psychological Nursing for Changchun Oxiracetam Combined with Fluoxetine in the Treatment of Cerebral Infarction Sequelae

作　　者：邱兰芳[1] 

机构地区：[1]南昌大学第二附属医院,江西南昌330006

出　　处：《药品评价》2016年第17期23-25,33,共4页Drug Evaluation

摘　　要：目的:探究对脑梗死后遗症的患者进行奥拉西坦+长春西汀治疗的临床疗效,并对患者的心理护理体会进行有效总结。方法:择取南昌大学第二附属医院于2015年2月至2016年3月期间收治的脑梗死后遗症患者共72例参与本次研究,并按照患者的入院时间将其分为常规治疗组以及联合治疗组,每组36例患者。常规治疗组患者接受常规性神经营养供给,改善患者脑内微循环等临床对症治疗措施;为联合治疗组患者行奥拉西坦+长春西汀治疗,同时辅以心理护理干预。对比两组患者的临床治疗有效率,美国独立卫生院制定的神经功能缺损评分(national institutes of health stroke scale,NIHSS)、日常生活能力评定指数(Barthel指数)评分,患者焦虑自评量表(self-rating anxiety scale,SAS)评分以及抑郁自评量表(self-rating depression scale,SDS)评分,护理满意度。结果:联合治疗组患者的Barthel指数评分明显高于常规治疗组;联合治疗组护理满意度明显高于常规治疗组,临床治疗有效率高于常规治疗组;数据经过统计学分析,差异有意义(P<0.05);联合治疗组患者的NIHSS评分明显低于常规治疗组,且SAS评分和SDS评分均低于常规治疗组,组间数据差异在统计学中存在意义(P<0.05)。结论:为脑梗死后遗症患者行奥拉西坦+长春西汀药物治疗,同时配合心理护理干预,可有效地缓解患者的神经功能,提升自理能力,促进认知功能的恢复,可在临床中推广并应用。Objective： To explore the clinical nursing curative effect of oxiracetam ＋ vinpocetine on cerebral infarction sequela. Methods： 72 cases of cerebral infarction sequelae patients in our hospital from February 2015 to March 2016 were divided as routine treatment group and combined treatment group, each group with 36 patients. Patients in the conventional treatment group received routine nerve nutrition supply to improve patients with cerebral microcirculation and clinical symptomatic treatment; combined treatment group underwent oxiracetam ＋ Changchun duloxetine treatment, supplemented by psychological nursing intervention. Clinical treatment efficiency, the independence of the United States hospitals to develop neural function defect score （NIHSS）, daily life ability evaluation index （Barthel Index） score, patients with anxiety self rating scale （SAS） score and depression self rating scale （SDS）, nursing satisfaction were compared. ~ts： Barthel index score in combined treatment group of patients was significantly higher than that of conventional treatment group;, nursing satisfaction of combined treatment group was significantly higher than that of conventional treatment group; clinical treatment is more efficient than the conventional treatment group （P〈0.05）; NIHSS score of combined treatment group patients was significantly lower than that of the conventional treatment group, and scores of SAS and SDS scores were lower than the conventional treatment group （P〈0.05）. Conclusion： For sequelae of cerebral infarction patients, oxiraeetam ＋ Changchun vinpocetine drug treatment and psychological nursing intervention, can effectively relieve the nerve function of patients, enhance self-care ability, and promote the recovery of cognitive function.

关 键 词：奥拉西坦 长春西汀 脑梗死 后遗症 心理护理 

分 类 号：R473.74[医药卫生—护理学]