摘要
目的探讨实施早期中医护理干预对老年脑梗死患者神经功能及肢体功能的影响。方法老年脑梗死患者64例分为对照组和观察组,各32例。对照组采用常规康复护理方案,观察组在对照组的基础上增加早期中医护理干预。采用美国国立研究所脑卒中评分(NIHSS)评价患者神经系统功能状况,采用Barthel指数(BI)评价患者生活活动能力,采用脑卒中康复运动功能评定(STREAM)量表和徒手肌力评定(MMT)量表评价患者运动和肢体功能情况。结果护理干预后2组患者NIHSS评分均较护理干预前降低(P <0. 05),且观察组HIHSS评分低于对照组(P <0. 05)。实施护理干预后,2组患者BI、STREAM评分均较护理干预前升高,且观察组BI、STREAM评分高于对照组(P <0. 05)。2组MMT评分均较护理干预前下降,且观察组MMT评分低于对照组(P <0. 05)。结论在康复护理基础上施加早期中医护理干预,能进一步改善老年脑梗死患者神经系统功能,提高患者生活能力,改善患者肢体运动及肌肉功能。
Objective To observe the clinical efficacy of early traditional Chinese medicine （TCM） nursing interventions for elderly patients with cerebral infarction. Methods Totally 64 elderly patients with cerebral infarction were divided into the observation group and the control group, with 32 cases in each group. Patients of both two groups received comprehensive treatment and routine nursing management, and those in the observation group were given early TCM nursing interventions. The NIH Stroke Scale（NIHSS） and Barthel Index （BI） were used to evaluate the neurologic function and activity of daily living of patients. The Stroke Rehabilitation Assessment of Movement （STREAM） and Manual Muscle Test （MMT） were used to assess the limb and motor function of patients. Results The NHISS score decreased significantly in both groups compared with baseline（ P 〈0.05）, and the NHISS score in observation group were significantly lower than that in control group after nursing interventions（ P 〈0.05）. The scores of BI and STREAM improved significantly in both groups compared with baseline （ P 〈0.05）, and the BI and STREAM scores in observation group were significantly higher than those in control group after nursing interventions（ P 〈0.05）. The MMT score decreased significantly in both groups compared with baseline（ P 〈0.05）, and the MMT score in observation group were significantly lower than that in control group after nursing interventions （ P 〈0.05）. Conclusion On the base of routine rehabilitation nursing, early TCM nursing interventions are potentially effective to improve the neurologic function, limb function, muscle function and living ability of patients with cerebral infarction.
作者
朱玲
ZHU Ling(Department of Neurology,Jiangsu Province Hospital of TCM,Nanjing,Jiangsu,210029)
出处
《中西医结合护理（中英文）》
2018年第10期52-54,共3页
Journal of Clinical Nursing in Practice
关键词
中医护理
康复护理
脑梗塞
神经功能
肢体功能
traditional Chinese medicine nursing
rehabilitation nursing
cerebral infarction
nerve function
limb function
