中医情志护理综合康复治疗脑梗死后吞咽障碍患者的影响  

Effect of Comprehensive Rehabilitation of Emotional Nursing of Traditional Chinese Medicine on Patients with Dysphagia After Cerebral Infarction

作　　者：曲利媛 马瑞丽[1] 朱娇娇[1] QU Liyuan;MA Ruili;ZHU Jiaojiao(First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《实用中医内科杂志》2023年第6期126-129,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20181042)。

摘　　要：目的 脑梗死后吞咽障碍患者采取中医情志护理综合康复治疗,分析该方法的效果。方法 78例脑梗死后吞咽障碍患者为研究对象,均取自于医院2020年1月-2021年1月。使用随机抽签方法均分为两组,对照组(39例)采取常规治疗及护理,试验组(39例)在上述基础上施行中医情志护理综合康复治疗。以治疗有效率、焦虑(SAS)、抑郁(SDS)评分、神经功能缺损评分(NIHSS)、日常生活能力(Barthel)、生活质量(SF-36)评价两组治疗效果。结果 试验组治疗有效率92.31%,对照组治疗有效率71.79%。治疗有效率对比发现,试验组相比对照组较高(P<0.05)。焦虑、抑郁评分比较发现,两组干预前比较差异无统计学意义(P>0.05)。干预后试验组相比较对照组较低(P<0.05)。神经功能缺损评分、日常生活能力评分比较发现,两组干预前比较差异较小(P>0.05)。干预后试验组神经功能缺损评分相比较对照组较低(P<0.05),日常生活能力评分相比较对照组较高(P<0.05)。生活质量比较发现,试验组相比较对照组较高(P<0.05)。结论 脑梗死后吞咽障碍患者采取中医情志护理综合康复治疗,效果明显。能够改善患者的吞咽障碍,消除其负面情绪。同时可改善患者的神经功能缺损,提升其日常生活能力及生活质量。由此可见,此种方法值得推广。Objective To analyze the effectiveness of comprehensive rehabilitation treatment with traditional Chinese medicine emotional nursing for patients with swallowing disorders after cerebral infarction.Method 78 patients with swallowing disorders af⁃ter cerebral infarction were selected as the study subjects,all from January 2020 to January 2021 in the hospital.Randomly di⁃vided into two groups,the control group(39 cases)received routine treatment and nursing,while the experimental group(39 cases)received comprehensive rehabilitation treatment with traditional Chinese medicine emotional nursing based on the above.The treatment effectiveness of the two groups was evaluated based on treatment efficacy,anxiety(SAS),depression(SDS)scores,neurological deficit score(NIHSS),ability of daily living(Barthel),and quality of life(SF-36).Result The effective rate of treatment in the experimental group was 92.31%,while the effective rate of treatment in the control group was 71.79%.The comparison of treatment effectiveness rate showed that the experimental group had a higher therapeutic effect compared to the control group(P<0.05).The comparison of anxiety and depression scores showed that there was no statistically significant difference between the two groups before intervention(P>0.05).After intervention,the experimental group was lower than the control group(P<0.05).The comparison of neurological deficit score and daily living ability score showed that there was a small difference between the two groups before intervention(P>0.05).After intervention,the neurological impairment score of the experimental group was lower than that of the control group(P<0.05),while the daily living ability score was higher than that of the control group(P<0.05).The comparison of quality of life showed that the experimental group had a higher quality of life compared to the control group(P<0.05).Conclusion Patients with swallowing disorders after cerebral infarction receive comprehensive rehabilitation treatment with traditional Chinese medic

关 键 词：中医情志护理 综合康复治疗 脑梗死 吞咽障碍 治疗有效率 负面情绪 神经功能缺损 日常生活能力 生活质量 

分 类 号：R248.9[医药卫生—中医临床基础]