CAJ | 학술논문

目的：通过对帕金森病患者进行不间断的护理干预，探讨帕金森病患者的最佳干预方案。方法选取2013年1月至2014年12月收治的帕金森病患者100例，在患者知情同意的前提下，按照随机数字表的方法分为两组，观察组50例，对照组50例，对照组给予常规西药美多巴治疗与常规护理干预，观察组在常规治疗与护理基础上加用不间断持续性护理8周。治疗前后分别采用 UPDRSII、III 对运动症状进行评定，并对比两组非运动症状有效性。结果治疗后，两组患者的 UPDRSII、III 评分均显著下降，均有统计学差异。观察组患者治疗后智能减退、便秘、排尿障碍、出汗、失眠多梦、精神障碍评分均显著下降，均有统计学差异；干预后观察组与对照组比较，显著下降，均有统计学差异。结论自拟滋补肝肾养血柔筋中药治疗肝肾阴虚型帕金森病临床疗效满意，能够显著改善症状，临床效果满意。
목적：통과대파금삼병환자진행불간단적호리간예，탐토파금삼병환자적최가간예방안。방법선취2013년1월지2014년12월수치적파금삼병환자100례，재환자지정동의적전제하，안조수궤수자표적방법분위량조，관찰조50례，대조조50례，대조조급여상규서약미다파치료여상규호리간예，관찰조재상규치료여호리기출상가용불간단지속성호리8주。치료전후분별채용 UPDRSII、III 대운동증상진행평정，병대비량조비운동증상유효성。결과치료후，량조환자적 UPDRSII、III 평분균현저하강，균유통계학차이。관찰조환자치료후지능감퇴、편비、배뇨장애、출한、실면다몽、정신장애평분균현저하강，균유통계학차이；간예후관찰조여대조조비교，현저하강，균유통계학차이。결론자의자보간신양혈유근중약치료간신음허형파금삼병림상료효만의，능구현저개선증상，림상효과만의。
Objective:Through uninterrupted nursing intervention on patients with Parkinsonˊs disease,to explore the best intervention in patients with Parkinsonˊs disease. Methods:100 patients with Parkinsonˊs disease from January 2013 to December 2014 in accordance with the random number table method,were d ivided into two groups,50 cases in the obser-vation group,50 cases in the control group,the control group were given conventional western medicine Madopar treatment and routine nursing intervention,the observation group in the conventional treatment and nursing based on the use of unin-terrupted continuous nursing for 8 weeks. UPDRSII,III were used to evaluate motor symptoms were used before and after the treatment,and compared the two groups of non motor symptoms efficacy. Results:after treatment,two groups of pa-tients with UPDRSII,the III score decreased significantly,there were statistically significant differences between. Patients in the observation group after treatment decreased intelligence,constipation,urinary dysfunction,sweating,insomnia, mental disorder score decreased significantly,there were statistically significant differences between the intervention;the observation group compared with the control group,decreased significantly,there were statistically significant differences between them . Conclusion:the clinical curative effect of self - made nourishing the liver and kidney nourishing tendons of traditional Chinese medicine in the treatment of liver kidney yin deficiency type of Parkinsonˊs disease,can significantly im-prove symptoms,the clinical effect is satisfactory.