中医按摩对高血压脑出血患者术后神经功能及生活质量的影响
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R743;R544.1

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Effect of Chinese Medicine Massage on Postoperative Neurological Function and Quality of Life in Patients with Hypertensive Cerebral Hemorrhage
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    摘要:

    目的:探究中医按摩对高血压脑出血患者术后神经功能和生活质量的影响情况。方法:将高血压脑出血患者107 例按随机数字表法分成2 组,对照组53 例予以常规护理干预;观察组54 例在对照组的基础上予以中医按摩护理干预。对比2 组患者护理前后神经功能指标、神经功能缺损、昏迷、认知功能以及生活质量评分变化情况。结果:2 组护理后神经元特异性烯醇化酶(NSE)、S100B 蛋白(S100B)、髓鞘碱性蛋白(MBP) 及神经胶质纤维酸性蛋白(GFAP) 均较前改善(P<0.05)。观察组护理后,NSE、S100B、MBP 及GFAP 低于对照组(P<0.05)。2 组护理后神经功能缺损评分量表(NIHSS) 评分、格拉斯哥昏迷量表(GCS) 评分及简易精神状态表(MMSE) 评分均较前改善(P<0.05)。观察组护理后,NIHSS 评分低于、GCS 评分及MMSE 评分高于对照组(P<0.05)。观察组护理后,记忆与思维、行动能力、交流、力量、情感、生活能力、手部功能及社会参与评分优于对照组(P<0.05)。结论:中医按摩可以有效改善高血压脑出血患者神经功能指标、神经功能缺损和昏迷情况,提高患者的认知功能和生活质量。

    Abstract:

    Abstract: Objective: To explore the effect of Chinese medicine massage on postoperative neurological function and quality of life in patients with hypertensive cerebral hemorrhage. Methods:A total of 107 cases of patients with hypertensive cerebral hemorrhage were divided into the control group and the observation group according to the random number table method, 53 and 54 cases in each group respectively. The control group was given routine nursing intervention, and the observation group was additionally given Chinese medicine massage based on the treatment of the control group. Before and after nursing, the changes in the indexes of neurological function and the scores of neurological impairment, coma, cognitive function and quality of life in the two groups were compared. Results: After nursing, neuron- specific enolase (NSE), S100B protein(S100B), myelin basic protein(MBP) and glial fibrillary acidic protein(GFAP) in the two groups were improved(P<0.05). After nursing, NSE, S100B, MBP and GFAP in the observation group were lower than those in the control group(P<0.05). After nursing,the scores of National Institute of Health Stroke Scale(NIHSS),Glasgow Coma Scale (GCS) and Mini Mental State Examination(MMSE) in the two groups were improved(P<0.05). After nursing, the scores of GCS and MMSE in the observation group were higher the score of NIHSS was lower than those in the control group(P<0.05). After nursing,the scores of thinking and memory,action ability,communication,strength,emotion,living ability,hand function and social participation in the observation group were better than those in the control group(P<0.05). Conclusion: Chinese medicine massage can effectively improve the neurological function indexes,neurological impairment and coma in patients with hypertensive cerebral hemorrhage,and enhance their cognitive function and quality of life.

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李会霞,张鹏.中医按摩对高血压脑出血患者术后神经功能及生活质量的影响[J].新中医,2020,52(21):129-132

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  • 在线发布日期: 2020-11-05
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