中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
12期
16-18
,共3页
急性缺血性脑卒中%早期康复%中医治疗%护理干预
急性缺血性腦卒中%早期康複%中醫治療%護理榦預
급성결혈성뇌졸중%조기강복%중의치료%호리간예
Acute ischemic stroke%Early rehabilitation%Traditional Chinese medicine treatment%Nursing intervention
目的 探讨早期中医康复治疗与护理干预对急性缺血性脑卒中患者功能预后的影响.方法 将80例急性缺血性脑卒中患者随机分为康复组42例和对照组38例.对照组采用内科基础治疗,康复组在内科基础治疗的基础上加用中医康复治疗与护理干预.治疗时间均为4周.评价治疗前后的神经功能缺损情况、生活活动能力、认知功能障碍水平及不良反应.结果 康复组临床疗效有效率为83.3%,显著高于对照组(52.6%);治疗后2组卒中量表计分均降低,与治疗前比较有显著差异,且康复组显著低于对照组;治疗后2组生活活动能力计分均上升,与治疗前比较有显著差异,且康复组显著高于对照组;精神状态量表计分在组内、组间比较差异不明显;2组患者在治疗期间均未发生明显不良反应.结论 早期中医康复治疗与护理干预是促进急性缺血性脑卒中患者功能恢复的有效方法 ,值得临床推广应用.
目的 探討早期中醫康複治療與護理榦預對急性缺血性腦卒中患者功能預後的影響.方法 將80例急性缺血性腦卒中患者隨機分為康複組42例和對照組38例.對照組採用內科基礎治療,康複組在內科基礎治療的基礎上加用中醫康複治療與護理榦預.治療時間均為4週.評價治療前後的神經功能缺損情況、生活活動能力、認知功能障礙水平及不良反應.結果 康複組臨床療效有效率為83.3%,顯著高于對照組(52.6%);治療後2組卒中量錶計分均降低,與治療前比較有顯著差異,且康複組顯著低于對照組;治療後2組生活活動能力計分均上升,與治療前比較有顯著差異,且康複組顯著高于對照組;精神狀態量錶計分在組內、組間比較差異不明顯;2組患者在治療期間均未髮生明顯不良反應.結論 早期中醫康複治療與護理榦預是促進急性缺血性腦卒中患者功能恢複的有效方法 ,值得臨床推廣應用.
목적 탐토조기중의강복치료여호리간예대급성결혈성뇌졸중환자공능예후적영향.방법 장80례급성결혈성뇌졸중환자수궤분위강복조42례화대조조38례.대조조채용내과기출치료,강복조재내과기출치료적기출상가용중의강복치료여호리간예.치료시간균위4주.평개치료전후적신경공능결손정황、생활활동능력、인지공능장애수평급불량반응.결과 강복조림상료효유효솔위83.3%,현저고우대조조(52.6%);치료후2조졸중량표계분균강저,여치료전비교유현저차이,차강복조현저저우대조조;치료후2조생활활동능력계분균상승,여치료전비교유현저차이,차강복조현저고우대조조;정신상태량표계분재조내、조간비교차이불명현;2조환자재치료기간균미발생명현불량반응.결론 조기중의강복치료여호리간예시촉진급성결혈성뇌졸중환자공능회복적유효방법 ,치득림상추엄응용.
Objective To investigate the influence of early traditional Chinese medicine(TCM) re-habilitation therapy and nursing intervention on functional prognosis of patients with acute ischemic stroke (AIS). Methods 80 cases with AIS were divided randomly into the rehabilitation group (42 cases) and the control group (38 cases). Both groups were similar in basic medical treatment, and an additional treat-ment of TCM rehabilitation therapy and nursing intervention was given to the rehabilitation group. The treat-ment time of beth groups was 4 weeks. The neurologic impairment, activities of daily living, cognitive im-pairment and adverse reactions in pre and post treatment were evaluated. Results The clinical efficacy of the rehabilitation group was 83.3%, which was higher than that of the control group (52.6%). NIHSS score after treatment was reduced compared with that before treatment, the NIHSS score of the rehabilitation group was lower than that of the control group. The ADL score after treatment increased compared with be-fore treatment, and the rehabilitation group was significantly higher than the control group. The intra-group and inter-group differences of MMSE score were not statistically significant, no obvious side effects hap-pened. Conclusions Early TCM rehabilitation therapy and nursing intervention proves to be effective for AIS functional recovery and worthy of clinical application.
