肠内营养支持联合早期中医康复护理对高血压脑出血患者的影响
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Effect of Enteral Nutrition Support Combined with Early Rehabilitation Nursing of Chinese Medicine on Patients with Hypertensive Cerebral Hemorrhage
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    摘要:

    目的:探究肠内营养支持联合早期中医康复护理对高血压脑出血患者的影响。方法:将高血压脑出血患者 105 例按随机数字表法分为 2 组,对照组 52 例予以肠外营养联合常规护理模式;观察组 53 例予以肠内营养联合早期中医康复护理模式。对比 2 组患者护理前后营养指标、神经功能指标、昏迷情况、生活能力及认知功能的变化情况。结果:护理后 2 周,2 组各营养指标较前改善 (P<0.05)。观察组护理 2 周后白蛋白 (Alb)、血红蛋白 (Hb)、总淋巴细胞计数 (TLC) 和血清总蛋白 (TP) 指标高于对照组,差异有统计学意义 (P<0.05)。2 组护理后 12 周神经功能指标较护理前改善 (P<0.05)。观察组护理后 12 周,髓鞘碱性蛋白(MBP)、神经元特异性烯醇化酶(NSE)、S100B 蛋白(S100B)和神经胶质纤维酸性蛋白(GFAP)明显低于对照组(P<0.05)。护理后 12 周,2 组格拉斯哥昏迷量表(GCS)评分、Barthel 指数(BI)和简易精神状态表(MMSE)评分较前改善,观察组护理后 12 周,GCS 评分、BI 评分和 MMSE 评分高于对照组(P<0.05)。结论:肠内营养支持联合早期中医康复护理可以有效改善高血压脑出血患者的术后营养状态,优化患者的神经功能,改善昏迷状态,增强患者术后运动功能和认知功能,同时提高生活能力。

    Abstract:

    Abstract: Objective: To explore the effect of enteral nutrition support combined with early rehabilitation nursing of Chinese medicine on patients with hypertensive cerebral hemorrhage. Methods: A total of 105 cases of patients with hypertensive cerebral hemorrhage were divided into the control group and the observation group according to the random number table method,52 and 53 cases in each group respectively. The control group was given enteral nutrition and routine nursing. The observation group was given enteral nutrition and early rehabilitation nursing of Chinese medicine. The changes in nutrition indexes,the nerve function indexes,the situation of coma,living ability and cognitive function before and after treatment were compared between the two groups. Results: After two- week nursing, each nutrition index in the two groups was improved when compared with that before(P<0.05). After nursing for two weeks,the indexes of albumin(Alb), hemoglobin(Hb),total lymphocyte count(TLC) and total protein(TP) in serum in the observation group were higher than those in the control group,the difference being significant(P<0.05). After 12 weeks of nursing,the nerve function indexes in the two groups were improved when compared with those before(P<0.05). After nursing for 12 weeks,the levels of myelin basic protein(MBP),neuron-specific enolase(NSE),S100B protein and glial fibrillary acidic protein(GFAP) in the observation group were significantly lower than those in the control group(P<0.05). After 12-week nursing,the scores of Glasgow Coma Scale(GCS),Barthel Index(BI) and Mini-Mental State Examination(MMSE) in the two groups were improved when compared with those before, and the scores in the observation group were higher than those in the control group(P<0.05). Conclusion:For patients with hypertensive cerebral hemorrhage,the intervention of enteral nutrition support combined with early rehabilitation nursing of Chinese medicine can effectively improve their postoperative nutrition and nerve function, relieve coma,and strength postoperative motor function and cognitive function,and enhance living ability.

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卢丹凤,沈晔,沈佳佳.肠内营养支持联合早期中医康复护理对高血压脑出血患者的影响[J].新中医,2020,52(24):146-149

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  • 在线发布日期: 2020-12-22
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