中医特色护理技术在脑出血气管切开术后的应用研究
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R248.2;R743.3

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Study on Application of Characteristic Nursing Technique of Chinese Medicine to Patients with Cerebral Hemorrhage After Tracheotomy
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    摘要:

    目的:观察中医特色护理技术对脑出血气管切开术后患者康复的影响。方法:将脑出血行气管切开术的患者 100 例随机分为 2 组,对照组 50 例术后采用常规护理干预,观察组 50 例在对照组的基础上加用中医特色护理技术干预。2 组疗程均为1 个月,观察比较 2 组临床疗效、简式 Fugl-Meyer 运动功能量表(FMA)评分,以及术后气道损伤、痰液阻塞、肺内感染等并发症发生率。结果:总有效率观察组为 82.00%,对照组为 64.00%,2 组比较,差异有统计学意义 (P<0.05)。治疗后,2 组患者上、下肢 FMA 评分及总分均较治疗前升高 (P<0.05);且观察组各项评分均明显高于对照组 (P<0.05)。治疗期间,观察组气道损伤、痰液阻塞、肺内感染的发生率分别为 16.00%、12.00%、14.00%,对照组分别为 50.00%、38.00%、32.00%,2 组比较,差异均有统计学意义 (P<0.05)。结论:中医特色护理技术可有效提高脑出血气管切开术后的临床疗效,促进患者肢体功能恢复,降低并发症发生率。

    Abstract:

    Abstract: Objective: To observe the effect of characteristic nursing technique of Chinese medicine on postoperative recovery from tracheotomy in patients with cerebral hemorrhage. Methods:A total of 100 cases of patients with cerebral hemorrhage who underwent tracheotomy were randomly divided into two groups,50 cases in each group. The control group was given routine nursing intervention after surgery, and the observation group was additionally given intervention of characteristic nursing technique of Chinese medicine based on the treatment of the control group. Both groups were treated for one month. The clinical effect, the scores of Simplified Fugl- Meyer Assessment(FMA), and the incidence of airway trauma,sputum obstruction,intrapulmonary infection,and other postoperative complications were observed and compared between the two groups. Results:The total effective rate was 82.00% in the observation group,and 64.00% in the control group,the difference being significant(P<0.05). After treatment,the scores of FMA of the upper and the lower limbs as well as the total scores in the two groups were increased when compared with those before treatment(P<0.05); each score above in the observation group was significantly higher than that in the control group(P<0.05). During treatment, the incidence of airway trauma, sputum obstruction, and intrapulmonary infection were 16.00% , 12.00% , and 14.00% respectively in the observation group,and 50.00%,38.00%,and 32.00% respectively in the control group;the comparison of the incidence between the two groups showed significance in differences(P<0.05). Conclusion: Characteristic nursing technique of Chinese medicine can effectively improve postoperative clinical effect in the treatment of patients with cerebral hemorrhage who underwent tracheotomy, promote the recovery of the limb function, and reduce the incidence of complications.

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沈华昀,陈蓉,谭佳丽.中医特色护理技术在脑出血气管切开术后的应用研究[J].新中医,2020,52(23):175-177

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  • 在线发布日期: 2020-12-09
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