中西医结合医护措施对急诊高血压脑出血患者血肿吸收及神经功能恢复影响  

Effect of Combined Traditional Chinese and Western Medicine Nursing in Emergency Patients with Hypertension Cerebral Hemorrhage Hematoma Absorption and Nerve Functional Recovery

作　　者：马娜[1] 林琳[1] 

机构地区：[1]辽宁中医药大学附属第四医院,辽宁沈阳110101

出　　处：《辽宁中医药大学学报》2017年第6期210-212,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探究中西医结合医护措施对急诊高血压脑出血患者血肿吸收及神经功能恢复的影响。方法:选取我院急诊收治的高血压脑出血患者84例,采用随机数字表随机分为两组,每组42例患者,其中对照组给予常规西医治疗及护理,实验组则在对照组的基础上,采取中西医结合护理。两组患者均护理3周,护理结束后,分别观察并对比两组患者的临床症状改善情况及血肿吸收、神经功能恢复情况。结果:(1)实验组较对照组改善明显,经临床检测统计可知,实验组临床总有效率为90.47%,对照组临床总有效率为71.43%,两组结果具有显著差异(P<0.05);(2)护理后通过比较不同时间段患者脑血肿含量来判断血肿吸收程度,结果表明实验组疗效更优,与对照组结果有差异,存在统计学意义(P<0.05);(3)护理后通过比较不同时间段患者神经功能来判断神经功能恢复程度,结果表明实验组疗效更优,与对照组结果有差异,存在统计学意义(P<0.05)。结论:中西医结合护理既可以通过药物有效快速作用于病灶部位,促进水肿吸收,又通过中药护理、康复训练、中医针灸推拿改善神经功能缺损,从根本上消除致病因素,疗效突出,临床上值得应用和推广。Objective：To explore the effect of combined traditional Chinese and Western medicine nursing in emergency patients with hypertensive cerebral hemorrhage hematoma absorption and nerve functional recovery. Methods ： Selection of 84 cases of hypertensive cerebral hemorrhage patients admitted in our hospital emergency, using the random number table, patients were randomly divided into two groups, each group of 42 patients, the control group was given Western medicine nursing, the experimental group was given combined traditional Chinese and Western medicine nursing. After 3 weeks, were observed and compared two groups of patients with clinical symptoms improve the situation, and hematoma absorption, neural fimction recovery. Results： （ 1 ）The experimental group after nursing was improved obviously by the clinical test statistics, the clinical total effective rate was 90.47%, while the control group total effective rate was 71.43%, two groups of results had very significant differences （P〈0.05）; （ 2 ）Through comparing two groups of patients afler nursing hematoma content, to judge hematoma absorption degree, result showed that experimental group had better effeet, the improvement of the experimental group was significantly higher than that of control group, the difference was statistically significant （ P〈0.05 ）; （ 3 ） After nursing, through comparing neurological function of patients at different time, to judge neurological recovery degree, result showed that experimental group had better effect, the improvement of the experimental group was significantly higher than that of control group, the difference was statistically significant （ P〈0.05 ） . Conclusion ： Combined traditional Chinese and Western medicine nursing could be effective and fast acting on the lesion site through medicine, also through traditional Chinese medicine nursing, rehabilitation training, Chinese medicine acupuncture and massage to improve nerve function defect, fundamentally eliminate pathogenic factors, c

关 键 词：中西医结合 高血压脑出血 血肿吸收 神经功能 护理 

分 类 号：R743.2[医药卫生—神经病学与精神病学]