中医护理在急性脑梗死患者中的应用  

The Application of TCM Nursing to the Patients Suffering Acute Cerebral Infarction

作　　者：蓝雪花[1] 陈嘉汇 覃丽容[1] 和维[1] 陈洁莹[1] LAN Xuehua;CHEN Jiahui;QIN Lirong;HE Wei;CHEN Jieying(Foshan City TCM Hospital, Foshan 528000, China)

机构地区：[1]佛山市中医院

出　　处：《西部中医药》2019年第8期126-129,共4页Western Journal of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助项目(编号20161109)

摘　　要：目的:探讨中医护理在急性脑梗死患者中的应用效果。方法:将96例患者随机分为观察组和对照组,每组48例。对照组给予常规护理,观察组在对照组护理的基础上给予中医护理。分析比较2组临床疗效、中医症状积分、欧洲卒中评分(ESS)、简化Fug1-Meyer量表评分(FMA)、SF-36量表评分、日常生活自理能力评分(BI)、住院时间和患者满意度。结果:总有效率观察组为81.25%,对照组为68.75%,2组比较差异有统计学意义(P<0.05)。住院时间2组比较,差异具有统计学意义(P<0.05)。总满意率对照组为81.25%,观察组为95.83%,2组比较差异有统计学意义(P<0.05)。症状积分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后组间比较差异也有统计学意义(P<0.05)。ESS、FMA、BI评分及SF-36量表评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后组间比较差异也有统计学意义(P<0.05)。结论:中医护理可促进急性脑梗死患者早期功能恢复,提高生活质量和生活自理能力。Objective: To discuss the application effects of TCM nursing on the patients with acute cerebral infarction(ACI). Methods: All 96 patients were randomized into the control group and the observation group, 48 cases each group, the control group accepted conventional nursing, and the observation group TCM nursing based on conventional nursing. To analyze and compare clinical effects, TCM syndrome scores, European stroke scores(ESS), simplified Fug1-Meyer motor assessment(FMA), SF-36, Barthel index, hospitalization time and satisfactory degrees between both groups. Results: Total effective rate of the observation group was 81.25%, lower than 68.75%of the control group, and the difference had statistical meaning(P<0.05). The difference was statistically significant in hospitalization time between both groups(P<0.05). Total satisfactory degree of the control group was 81.25%,lower than 95.83% of the observation group, and the difference had statistical meaning(P<0.05). The difference showed statistical meaning in TCM syndrome scores before and after intervention within two groups(P<0.05);the difference showed statistical meaning between both groups after the intervention(P <0.05). the difference was statistically significant in ESS, FMA, BI scores and SF-36 scores before and after the intervention within two groups(P<0.05);the difference could be found between both groups after the intervention(P<0.05). Conclusion: TCM nursing could promote early functional recovery of ACI patients, raise quality of life and self-care ability.

关 键 词：急性脑梗死 中医护理 功能恢复 生活质量 

分 类 号：R248[医药卫生—中医临床基础]