摘要
目的:探讨综合康复护理在针灸治疗高血压脑出血后肢体偏瘫患者中的应用效果。方法:随机选择2014年6月~2015年6月在我院治疗的高血压脑出血后肢体偏瘫患者100例,将患者等分为观察组和对照组。对照组病情稳定后给予针灸及常规康复锻炼。观察组在对照组治疗方案基础上给予综合康复护理。比较两组患者神经功能恢复情况以及临床疗效。结果:两组患者治疗前Barthel、CSS、NIHSS评分经比较差异均无统计学意义(P>0.05),治疗后随时间延长Baethel评分逐渐升高,CSS、NIHSS评分逐渐降低,但观察组患者评分改善的更为明显,与对照组比较差异有统计学意义(P<0.05)。观察组患者1个月后临床疗效优于对照组(P<0.05)。结论:综合康复护理结合针灸能够改善高血压脑出血后肢体偏瘫患者的预后,促进患者神经功能的恢复,具有显著的临床疗效。
Objective ： To discuss the application effect of comprehensive rehabilitation nursing in acupuncture therapy of patients with hemiplegias after hy- pertensive cerebral hemorrhage. Methods：Selected 100 patients with hemiplegias after hypertensive cerebral hemorrhage receiving treatment in our hospital from June 2014 to June 2015 at random, and they were divided into observation group and control group at random. After stabilization of the disease condi- tion, patients in the control group received acupuncture and routine rehabilitation exercise, and patients in the observation group received comprehensive re- habilitation nursing on the basis of treatment plan of the control group. Patients in the two groups were compared in recovery of neurological function and clinical curative effect. Results：Through comparison, the difference of Barthel, CSS and NIHSS scores of patients in the two groups before treatment was not statistically significant （P 〉 0.05 ）, and after treatment, with time passing by, the score of Baethel gradually increased, and the scores of CSS, NIHSS scores decreased gradually, but the improvement condition of patients in the observation group was more significant, compared with the control group, the difference was statistically significant （ P 〈 0.05 ）. The clinical curative effect of patients in the observation group after 1 month was superior to that of pa- tients in the control group （P 〈 0.05 ）. Conclusion：The comprehensive rehabilitation nursing combined with acupuncture therapy could improve the progno- sis of patients with hemiplegias after hypertensive cerebral hemorrhage, promote the recovery of patients＇neurological function, with significant clinical cura- tive effect.
出处
《护理实践与研究》
2017年第7期11-13,共3页
Nursing Practice and Research
关键词
综合康复护理
针灸
高血压脑出血
肢体偏瘫
Comprehensive rehabilitation nursing
Acupuncture
Hypertensive cerebral hemorrhage
Hemiplegia
