中医干预联合早期康复护理对脑卒中患者生活能力及神经功能的影响
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R248;R743.3

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Effect of Chinese Medicine Intervention Combined with Early Rehabilitation Care on Activities of Daily Living and Neurological Function in Stroke Patients
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    摘要:

    目的:观察中医干预联合早期康复护理对脑卒中患者生活能力及神经功能的影响。方法:选取140 例脑卒中患者,按随机数字表法分为对照组和观察组各70 例。2 组均接受常规治疗,对照组给予早期康复护理,观察组在对照组基础上给予中医干预。比较2 组美国国立卫生研究院卒中量表(NIHSS) 评分、日常生活能力量表(ADL) 评分及格拉斯哥昏迷量表(GCS)评分,评价营养指标、焦虑抑郁状况。结果:治疗前,2 组NIHSS 评分、ADL 评分及GCS 评分比较,差异无统计学意义(P>0.05)。2 组治疗后NIHSS 评分较治疗前降低,ADL 评分及GCS 评分较治疗前升高(P<0.05),观察组治疗后的NIHSS 评分、ADL 评分及GCS 评分明显优于对照组(P<0.05)。治疗前,2 组体质量指数(BMI)、血清白蛋白(Alb) 及前白蛋白(PA) 比较,差异无统计学意义(P>0.05)。治疗后,对照组BMI 指数、PA 及Alb 较治疗前降低,但治疗后观察组BMI 指数、PA 及Alb 明显优于对照组(P<0.05)。治疗后观察组轻度抑郁、轻度焦虑比例明显高于对照组,重度抑郁、重度焦虑比例低于对照组(P<0.05)。结论:中医干预联合早期康复护理对脑卒中患者效果显著,能够提高生活质量,改善神经功能,缓解焦虑抑郁情绪。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese medicine intervention combined with early rehabilitation care on activities of daily living and neurological function in stroke patients. Methods: A total of 140 cases of stroke patients were divided into the control group and the observation group according to the random number table method, 70 cases in each group. Both groups were given routine treatment;the control group was given early rehabilitation care,and the observation group was additionally given Chinese medicine intervention based on the treatment of the control group. The scores of National Institutes of Health Stroke Scale(NIHSS),Activities of Daily Living Scale(ADL) and Glasgow Coma Scale(GCS) in the two groups were compared,and the nutrition indicators as well as anxiety and depression were evaluated. Results:Before treatment,there was no significant difference being found in the comparison of the scores of NIHSS,ADL and GCS between the two groups(P>0.05). After treatment,the NIHSS scores in the two groups were decreased when compared with those before treatment, and the scores of ADL and GCS were increased(P<0.05); the scores of NIHSS, ADL and GCS in the observation group were significantly better than those in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of the body mass index(BMI),albumin(Alb) and prealbumin(PA) between the two groups(P>0.05). After treatment, BMI, PA and Alb in the control group were decreased when compared with those before treatment,and BMI,PA and Alb in the observation group were significantly better than those in the control group(P<0.05). After treatment, the proportions of mild depression and mild anxiety in the observation group were significantly higher than those in the control group, and the proportions of major depression and major depression were significantly lower than those in the control group(P<0.05). Conclusion:Chinese medicine intervention combined with early rehabilitation care for stroke patients has significant effect,which can improve quality of life and neurological function,and relieve anxiety and depression.

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徐娟.中医干预联合早期康复护理对脑卒中患者生活能力及神经功能的影响[J].新中医,2021,53(9):143-146

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  • 在线发布日期: 2021-05-12
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