中医辨证施护对重型颅脑损伤恢复期患者应用效果的研究  

Study on the Application Effect of TCM Syndrome Differentiation and Treatment on Patients with Severe Craniocerebral Injury During Recovery Period

作　　者：陶雪斌[1] 叶和妹[1] 黄宗轩[1] 苏金玲[1] 刘莹莹[1] 陆晓姿[1] TAO Xuebin;YE Hemei;HUANG Zongxuan;SU Jinling;LIU Yingying;LU Xiaozi(Department of Traditional Chinese Medicine,the First Affiliated Hospital of Guangxi Medical University 530021)

机构地区：[1]广西医科大学第一附属医院,530021

出　　处：《中医药临床杂志》2021年第8期1600-1604,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(NO:Z20170634)。

摘　　要：目的:观察中医辨证施护治疗方案对重型颅脑损伤昏迷患者促醒作用的临床疗效。方法:纳入2017年1月至2018年5月广西医科大学第一附属医院中医科住院部的60例重型颅脑损伤患者,将其随机分为两组,每组各30例。对照组30例,采用我科颅脑损伤治疗方案治疗及常规护理;试验组30例,采用我科颅脑损伤治疗方案治疗及中医辨证施护,对比两组治疗前后内格拉斯(Glasgow Coma Scale,GCS)评分、苏醒率、脑灌注量指标。结果:在治疗过程中,试验组及对照组病情均有所好转,但试验组与对照组同一时间段(GCS)评分改善情况、苏醒率、脑灌注量指标比较,治疗21天后差异均有显著性意义(P<0.05),提示采用辨证施护方案试验组疗效优于常规护理对照组。结论:中医辨证施护治疗方案在防治重型颅脑损伤方面较常规护理方案具有明显的优势,值得在临床上进一步的推广和应用。Objective To observe the clinical effect of TCM syndrome differentiation treatment on the wakefulness of patients with severe craniocerebral injury and coma.Methods From January 2017 to May 2018,60 patients with severe head injury in the Department of Traditional Chinese Medicine of the First Affiliated Hospital of Guangxi Medical University were enrolled,and they were randomly divided into two groups with 30 cases in each group.30 cases in the control group were treated with our department’s craniocerebral injury treatment plan and routine nursing;30 cases in the test group were treated with our department’s craniocerebral injury treatment plan and TCM treatment based on syndrome differentiation.The two groups were compared before and after treatment by Glasgow Coma Scale (Glasgow Coma Scale.,GCS) score,recovery rate,cerebral perfusion index.Results During the course of treatment,the conditions of the test group and the control group improved,but the improvement of GCS score,recovery rate and cerebral perfusion index in the test group and the control group at the same time period showed significant differences after 21 days of treatment (P<0.05),suggesting that the therapeutic effect of the trial group with the syndrome differentiation nursing program is better than that of the conventional nursing control group.Conclusion TCM syndrome differentiation treatment has obvious advantages over conventional nursing programs in the prevention and treatment of severe craniocerebral injury,and it is worthy of further promotion and application in clinical practice.

关 键 词：辨证施护 颅脑损伤 疗效研究 

分 类 号：R473.3[医药卫生—护理学]