中医综合护理措施对脑外伤术后患者认知功能和运动功能的影响
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R651.1+1;R248.2

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Effect of Comprehensive Nursing Measures of Chinese Medicine on Cognitive Function and Motor Function of Patients After Operation for Traumatic Brain Injury
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    摘要:

    目的:观察中医综合护理措施对脑外伤术后患者认知功能和运动功能的影响。方法:将96例患者随机分为对照组和观察组,各48例。对照组给予奥拉西坦胶囊口服、康复训练等治疗,并进行心理护理、并发症预防和康复护理等干预;观察组在对照组的基础上给予情志护理、中药穴位注射、穴位按摩等中医综合护理措施;疗程均为4周,观察比较2组治疗前后蒙特利尔认知评估量表(MoCA)、简易精神状态(MMSE) 量表、日常生活能力(ADL)、Fugl-Meyer 量表(FMA) 和功能独立性评估(FIM) 评分。结果:治疗后,2组患者MoCA、MMSE评分均较治疗前明显升高(P<0.05);且观察组MoCA、MMSE评分高于对照组(P<0.05)。治疗后,2 组患者ADL 评分均较治疗前明显降低(P<0.05),FMA 评分明显升高(P<0.05);且观察组患者ADL、FMA评分改善均优于对照组(P<0.05)。治疗后,2组患者运动功能评分、认知功能评分和FIM总分均较治疗前明显升高(P<0.05);且观察组各项评分均高于对照组(P<0.05)。治疗后,2组患者FIM分级情况比较,经秩和检验,差异有统计学意义(P<0.05),观察组疗效优于对照组。结论:在常规治疗和护理的基础上,中医综合护理措施可显著改善脑外伤术后患者认知功能,提高患者日常活动能力、运动能力和独立生活能力。

    Abstract:

    Abstract: Objective: To observe the effect of comprehensive nursing measures of Chinese medicine on cognitive function and motor function of patients after operation for traumaticbrain injury. Methods:A total of 96 cases of patients were randomly divided into the control group and the observation group,48 cases in each group. The control group was given oral administration of oxiracetam capsules, rehabilitation training, psychological nursing, complications prevention and rehabilitation nursing guidance; the observation group was additionally given comprehensive nursing measures of Chinese medicine including emotional nursing, point injection with Chinese herbal medicine and point massage based on the treatment of the control group. Both groups were treated for four weeks. Before and after treatment,the scores of Montreal Cognitive Assessment(MoCA),Mini-Mental Status Exam(MMSE), Activities of Daily Living(ADL),Fugl-Meyer Assessment (FMA) and Functional Independence Measure(FIM) in the two groups were observed and compared. Results: After treatment,the scores of MoCA and MMSE in the two groups were significantly increased when compared with those before treatment(P<0.05);the above scores in the observation group were higher than those in the control group(P<0.05). After treatment,the ADL scores in the two groups were significantly decreased when compared with those before treatment(P<0.05), and the FMA scores were significantly increased(P<0.05); the improvement of the scores of ADL and FMA in the observation group was better than that in the control group(P<0.05). After treatment,the scores of cognitive function and motor function as well as the total scores of FIM in the two groups were significantly increased when compared with those before treatment(P<0.05);the above scores in the observation group were higher than those in the control group(P<0.05). After treatment, the comparison of FIM classification between the two groups showed significance in the difference(P<0.05),and the classification in the observation group was better than that in the control group. Conclusion:Based on routine treatment and nursing, the comprehensive nursing measures of Chinese medicine can significantly improve cognitive function,motor function,activity of daily living and independent living ability of patients after operation for traumatic brain injury.

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吴珊珊,顾塘青,任娇娜,蔡盼盼.中医综合护理措施对脑外伤术后患者认知功能和运动功能的影响[J].新中医,2020,52(12):199-202

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  • 在线发布日期: 2020-06-15
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