中西医结合卒中单元对卒中后疲劳的干预研究  

Intervention Study of Stroke Unit Combined with Traditional Chinese and Western Medicine on Post-stroke Fatigue

作　　者：王利[1] 吴常征 卞光荣[1] 马先军[1] 姜正荣[1] 王惠[1] 

机构地区：[1]南京中医药大学连云港附属医院脑病科,江苏南京222004

出　　处：《辽宁中医杂志》2017年第11期2356-2358,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：连云港市科技计划项目(SH1539)

摘　　要：目的:旨在探讨中西医结合卒中单元干预卒中后疲劳的临床效果。方法:选取2015年11月—2017年4月本院收治的脑卒中患者164例。根据患者入院治疗时间顺序交替将患者分为观察组及对照组。对照组患者采用纯西医卒中单元治疗模式干预,观察组患者采用中西医结合卒中单元进行干预。比较两组患者治疗满意度,并分别采用疲劳评定量表(FAI)、Barthel指数(BI)评价两组患者治疗前后疲劳程度及日常生活能力变化情况。结果:观察组治疗满意度明显高于对照组(95.12%vs 80.48%)(χ2=4.100,P=0.043);两组患者干预后FSS评分明显低于干预前(P<0.05);观察组FSS评分下降幅度明显大于对照组(P<0.05);两组患者干预后PSQI及Barthel指数较干预前出现明显变化,PSQI指数呈现下降趋势,Barthel指数呈现上升趋势,其中观察组指数变化幅度显著大于对照组(P<0.05)。结论:中西医结合卒中单元治疗卒中后疲劳可有效降低患者疲劳程度并提高日常生活能力,患者满意度高,值得临床运用推广。Objective： To investigate the effect of stroke unit combined with traditional Chinese and Western medicine on post-stroke fatigue. Methods： A total of 164 cases with stroke in our hospital from November 2015 to April 2016 were selected. The patients were randomly divided into the observation group and the control group according to the time of admission. Patients in the control group were treated with Western medicine combined with stroke unit care and the patients of the observation group were treated with the combination of traditional Chinese and Western medicine and stroke unit. The treatment satisfaction was compared between two groups. The degree of fatigue and daily living ability were evaluated by the fatigue rating scale（ FAI） and Barthel index（ BI） respectively. Results： The treatment satisfaction of the observation group was significantly higher than that in the control group（ 95. 12% vs 80. 48%）（ χ2= 4. 100,P = 0. 043）. The FSS scores of two groups after intervention were significantly lower than that before intervention（ P〈0. 05） and the Descent range of FSS score of the observation group was significantly higher than that in control group（ P〈0. 05）. The PSQI and Barthel index of two groups after intervention significantly changed compared with those before intervention and PSQI index showed a downward trend and the Barthel index showed a rising trend. The changed range of observation group was significantly higher than that in the control group（ P〈0. 05）. Conclusion： Stroke unit combined with traditional Chinese and Western mdicine for post-stroke fatigue can effectively reduce the degree of fatigue and improve the daily life ability of patients and get high patients＇ satisfaction,which is worthy of clinical application and promotion.

关 键 词：中西医结合 卒中单元 卒中后疲劳 干预 

分 类 号：R743.3[医药卫生—神经病学与精神病学]