中医特色护理对卒中后认知功能障碍患者的效果观察  

作　　者：许燕飞[1] 黄金秀[1] 陈忠美[1] 

机构地区：[1]杭州市中医院,310007

出　　处：《浙江临床医学》2021年第7期1047-1049,共3页Zhejiang Clinical Medical Journal

摘　　要：目的观察中医特色护理对卒中后认知障碍的效果。方法非痴呆型血管认知功能障碍(VCIND)患者96例,随机法分为对照组、中医护理1组和中医护理2组,各32例。对照组予中医康复训练,中医护理1组在对照组基础上予耳穴埋豆,中医护理2组在对照组基础上予五脏俞穴灸疗联合耳穴压豆。在治疗前和治疗后4周分别以MoCA评定量表评定认知情况、ADL表评定日常生活能力。结果治疗后三组MoCA评分和ADL评分与治疗前比较,差异均有统计学意义(P<0.05)。中医护理1组与中医护理2组治疗后MoCA评分和ADL评分与对照组比较差异有统计学意义(P<0.05),结论中医特色护理技术干预卒中后轻度认知障碍有一定的改善效果。Objective To observe the effect of traditional Chinese medicine characteristic nursing technology on cognitive impairment after stroke.Methods 96 VCIND patients were randomly divided into control group(32 cases),traditional Chinese medicine nursing group(32 cases)and traditional Chinese medicine nursing group2(32 cases).The control group received TCM health rehabilitarion training,the TCM nursing group 1 received ear acupoint burying beans on the basis of the control group,and the TCM nursing group 2 received wuzang Shu point moxibustion combined with ear acupoint pressing beans on the basis of the control group.Cognitive status and daily living.ability were assessed by MoCA scale and ADL scale respectively before and 4 weeks after treatment.Results MoCA score and ADL score of the three groups after treatment were statistically different from those before treatment(P<0.05).MoCA score and ADL score after treatment were compared between the TCM nursing group 1 and the TCM nursing group 2,and the difference was statistically significant(P<0.05).Conclusion TCM characteristic nursing technique can improve mild cognitive impairment after stroke.

关 键 词：卒中 中医护理 灸法 耳穴 认知障碍 康复训练 

分 类 号：R47[医药卫生—护理学]