中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
17期
106-108,112
,共4页
金红燕%周建敏%郑群%郑胜明
金紅燕%週建敏%鄭群%鄭勝明
금홍연%주건민%정군%정성명
脑出血%显微手术%中西医结合%护理干预
腦齣血%顯微手術%中西醫結閤%護理榦預
뇌출혈%현미수술%중서의결합%호리간예
Cerebral hemorrhage%Microsurgical operation%Integrated traditional Chinese and Western medicine%Nursing intervention
目的：探讨中西医结合护理干预对脑出血显微术后患者康复的临床效果。方法将2010年1月~2013年1月浙江医院收治的基底节区脑出血经侧裂-岛叶入路显微手术治疗患者60例，按照随机分组原则分为观察组与对照组，每组各30例。对照组术后给予常规脑出血显微术后神经外科护理方案进行干预；观察组术后在常规护理方案的基础上，结合中医护理理论，进行中西医结合护理干预。护理干预10周后，对两组患者的临床神经功能缺损评分、Fugl-Meyer评分及Batbel指数评分进行比较。护理干预1年后，对两组患者的临床护理效果进行评价。结果观察组经过10周护理干预后，临床神经功能缺损评分、改良Fugl-Meyer评分、Batbel指数评分指标均较对照组有所改善，且差异均有统计学意义(t=4.782、7.908和8.117，P<0.05或P<0.01)。护理介入治疗1年后，观察组患者的总有效率为93.3%，优于对照组(73.3%)，且差异有统计学意义(χ2=4.32，P<0.05)。结论基底节区出血的患者采用经侧裂-岛叶入路显微手术结合术后中西医结合护理干预治疗能提高手术成功率，降低患者病死率，并能加速术后神经功能康复，较传统护理模式有一定的优势，是一种安全、有效的治疗方法。
目的：探討中西醫結閤護理榦預對腦齣血顯微術後患者康複的臨床效果。方法將2010年1月~2013年1月浙江醫院收治的基底節區腦齣血經側裂-島葉入路顯微手術治療患者60例，按照隨機分組原則分為觀察組與對照組，每組各30例。對照組術後給予常規腦齣血顯微術後神經外科護理方案進行榦預；觀察組術後在常規護理方案的基礎上，結閤中醫護理理論，進行中西醫結閤護理榦預。護理榦預10週後，對兩組患者的臨床神經功能缺損評分、Fugl-Meyer評分及Batbel指數評分進行比較。護理榦預1年後，對兩組患者的臨床護理效果進行評價。結果觀察組經過10週護理榦預後，臨床神經功能缺損評分、改良Fugl-Meyer評分、Batbel指數評分指標均較對照組有所改善，且差異均有統計學意義(t=4.782、7.908和8.117，P<0.05或P<0.01)。護理介入治療1年後，觀察組患者的總有效率為93.3%，優于對照組(73.3%)，且差異有統計學意義(χ2=4.32，P<0.05)。結論基底節區齣血的患者採用經側裂-島葉入路顯微手術結閤術後中西醫結閤護理榦預治療能提高手術成功率，降低患者病死率，併能加速術後神經功能康複，較傳統護理模式有一定的優勢，是一種安全、有效的治療方法。
목적：탐토중서의결합호리간예대뇌출혈현미술후환자강복적림상효과。방법장2010년1월~2013년1월절강의원수치적기저절구뇌출혈경측렬-도협입로현미수술치료환자60례，안조수궤분조원칙분위관찰조여대조조，매조각30례。대조조술후급여상규뇌출혈현미술후신경외과호리방안진행간예；관찰조술후재상규호리방안적기출상，결합중의호리이론，진행중서의결합호리간예。호리간예10주후，대량조환자적림상신경공능결손평분、Fugl-Meyer평분급Batbel지수평분진행비교。호리간예1년후，대량조환자적림상호리효과진행평개。결과관찰조경과10주호리간예후，림상신경공능결손평분、개량Fugl-Meyer평분、Batbel지수평분지표균교대조조유소개선，차차이균유통계학의의(t=4.782、7.908화8.117，P<0.05혹P<0.01)。호리개입치료1년후，관찰조환자적총유효솔위93.3%，우우대조조(73.3%)，차차이유통계학의의(χ2=4.32，P<0.05)。결론기저절구출혈적환자채용경측렬-도협입로현미수술결합술후중서의결합호리간예치료능제고수술성공솔，강저환자병사솔，병능가속술후신경공능강복，교전통호리모식유일정적우세，시일충안전、유효적치료방법。
Objective To investigate clinical effect of integrative care for promotion of cerebral hemorrhage patients re-habilitation after microsurgery. Methods 60 patients from January 2010 to January 2013 in Zhejiang Hospital between basal ganglia hemorrhage through lateral fissure - insular approach for microsurgical treatment of after surgery, in ac-cordance with the principle of randomization were divided into observation group and control group with 30 cases in each group. The control group were treated with routine postoperative cerebral hemorrhage microsurgery neurosurgery care program intervention;observation group were given the conventional care regimens combined with traditional Chi-nese medicine nursing theory, for integrative nursing intervention. Nursing intervention after 10 weeks, two groups of patients in clinical neurological deficit score, Fugl-Meyer score and Batbel index scores were compared. Nursing inter-vention after 1 year, the effect of clinical care in two groups of patients were evaluated. Results Compared with the control group, observation group improved after 10 weeks of nursing intervention with clinical neurological deficit score, Fugl-Meyer score and Batbel index scores, and the differences were statistically significant (t = 4.782, 7.908, 8.117, P< 0.05 or P< 0.01). Nursing interventions after 1 year of treatment, the total effective rate of patients in observation group was 93.3%, which was better than 73.3%of the control group, and the difference was statistically significant (χ2=4.32, P<0.05). Conclusion Basal ganglia hemorrhage treated by lateral fissure -insular approach combining surgery micro-surgery integrative care intervention can improve the success rate and reduce the mortality, and can accelerate postop-erative neurological rehabilitation, the more traditional care model has certain advantages too, and it is a safe and ef-fective method of treatment.
