一体化中西医结合管理在卒中介入治疗患者中的应用研究  

Application of integrated management of Chinese and Western medicine in stroke patients underwent interventional treatment

作　　者：鲍婉茹[1] 马蓓蓓 夏孟 周敏[1] 包建英[1] BAO Wanru;MA Beibei;XIA Meng;ZHOU Min;BAO Jianying(Department of Interventional Radiology,Jiangsu Province Hospital,Nanjing,Jiangsu 210029)

机构地区：[1]江苏省人民医院介入放射科,江苏南京210029

出　　处：《河北中医》2023年第12期1987-1990,1995,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:81501565)。

摘　　要：目的观察一体化中西医结合管理在卒中介入治疗患者中的应用。方法将98例卒中介入治疗患者按照随机数字表法分为2组,对照组49例予常规干预,观察组49例予一体化中西医结合管理。比较2组疗效;比较2组住院时间、下床活动时间、床上开始活动时间;比较2组干预前后卒中患者临床神经功能缺损评分(CSS)、Barthel指数评分、运动功能评估量表(MAS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、健康状况调查简表(SF-36)评分。结果观察组总有效率95.92%(47/49),对照组总有效率81.63%(40/49),观察组疗效优于对照组(P<0.05)。观察组住院时间、下床活动时间、床上开始活动时间均较对照组短(P<0.05)。2组干预后CSS评分、NIHSS评分均较本组干预前降低(P<0.05),Barthel指数评分、MAS评分均较本组干预前升高(P<0.05);干预后观察组CSS评分、NIHSS评分均低于对照组(P<0.05),Barthel指数评分、MAS评分均高于对照组(P<0.05)。2组干预后SF-36各项评分均较本组干预前升高(P<0.05),且观察组升高更明显(P<0.05)。结论在卒中介入治疗患者中应用一体化中西医结合管理,可减少患者神经功能损伤,提高疗效,缩短住院时间,改善生活质量。Objective To observe the applicati on of integrated management of Chinese and Western medicine in stroke patients underwent interventional treatment.Methods A total of 98 stroke patients underwent interventional treatment were randomly assigned to the control group(n=49)and the observation group(n=49),in which they received routine intervention and integrated management of Chinese and Western medicine,respectively.The aim was to compare hospitalization time,ambulation time,time of starting activities in bed,Canadian Stroke Scale(CSS),Barthel Index(BI),Motor Assessment Scale(MAS),National Institutes of Health Stroke Scale(NIHSS),36-Item Short-Form Health Survey(SF-36).The curative effect was assessed.Results The overall effective rate in the observation group was better than that in the control group(95.92%[47/49]vs 81.63%[40/49],[P<0.05],respectively).The hospitalization time,ambulation time,time of starting activities in bed in the observation group were significantly shorter compared with the control group(P<0.05).After intervention,significantly decreased CSS and NIHSS scores,and increased BI and MAS scores were detected in the both groups(all P<0.05),and the observation group was superior to the control group for CSS,NIHSS,BI,MAS scores(all P<0.05).SF-36 scores in the both groups were significantly increased(P<0.05),which were significantly higher in the observation group than in the control group(P<0.05).Conclusion For stroke patients underwent interventional treatment,integrated management of Chinese and Western medicine can reduce neurological damage,improve curative effect,shorten hospitalization time and improve quality of life.

关 键 词：卒中 血管内操作 中西医结合管理 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R814.47[医药卫生—临床医学]