三氧大自血疗法结合循证护理对急性脑梗死患者的效果观察  

Effect of ozone autohemo-therapy combined with evidence-based nursing in patients with acute cerebral infarction

作　　者：孙会会[1] 黄素玲[1] 唐冬娥[1] 朱德才[1] SUN Huihui;HUANG Suling;TANG Donge;ZHU Decai(Bozhou People's Hospital in Anhui Province,Bozhou,Anhui,236800)

机构地区：[1]安徽省亳州市人民医院,安徽亳州236800

出　　处：《实用临床医药杂志》2022年第13期125-129,共5页Journal of Clinical Medicine in Practice

基　　金：安徽省医学会急诊临床研究项目(Ky2018016)。

摘　　要：目的探讨三氧大自血疗法结合循证护理对急性脑梗死患者的治疗效果及对预后的影响。方法选取急性脑梗死患者115例为研究对象,按随机数字表法和患者个人意愿分为实验组和对照组。失访8例,最终实验组纳入49例,对照组58例。对照组给予常规治疗和护理;实验组在对照组基础上,给予三氧大自血疗法和循证护理。比较2组患者临床疗效和治疗前后收缩压(SBP)、舒张压(DBP)及心率。使用美国国立卫生研究院卒中量表(NIHSS)、简易精神状态量表(MMSE)、抑郁自评量表(SDS)与焦虑自评量表(SAS)评估患者神经损伤、心理状态。随访6个月,评估患者预后生活质量。结果实验组治疗总有效率为97.96%,高于对照组的86.21%,差异有统计学意义(P<0.05)。实验组NIHSS、SAS、SDS评分低于对照组,MMSE、生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论三氧大自血疗法结合循证护理对急性脑梗死患者的临床疗效显著,可减轻患者神经损伤,改善其心理状态与预后生活质量。Objective To explore the effects of ozone autohemo-therapy combined with evidence-based nursing in patients with acute cerebral infarction and its prognosis.Methods A total of 115 patients withacute cerebral infarction were selected as research objects,and were divided into experimental group and control group by random number table method and patients'personal will.Eight cases were lost in follow-up,and 49 cases were included in the experimental group and 58 cases in the control group.The control group was given routine treatment and nursing;On the basis of the control group,the experimental group was given ozone autohemo-therapy and evidence-based nursing.Clinical efficacy,systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate before and after treatment were compared between two groups.National Institutes of Health Stroke Scale(NIHSS),Mini-Mental State Examination(MMSE),Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)were used to assess the neurological injury and psychological state of thepatients.Patients were followed up for 6 months to evaluate their prognosis and quality of life.Results The total effective rate of the experimental group was 97.96%,which was significantly higher than 86.21% of the control group(P<0.05).NIHSS,SAS and SDS scores of the experimental group were significantly lower than those of the control group,MMSE and quality of life scores were significantly higher than those of the control group(P<0.05).Conclusion Ozone autohemo-therapy combined with evidence-based nursing has a significant clinical effect in patients with acute cerebral infarction,which can relieve nerve injury,improve their psychological state and prognostic life quality.

关 键 词：三氧大自血疗法 循证护理 急性脑梗死 血压 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R472[医药卫生—临床医学]