摘要
目的:探究中医护理方案应用于中风后痉挛性瘫痪的效果。方法:选择2020年1月-2021年1月肇庆市端州区华佗医院的80例中风后痉挛性瘫痪患者,以随机抽样法分为试验组(中医护理方案)与参照组(常规护理方案),各40例。护理前后,比较两组的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、美国国立卫生院神经功能缺损评分量表(NIHSS)、Fuel-Meyer运动功能评分量表(FMA)、健康状况调查问卷(SF-36)评分,统计两组并发症发生情况,比较两组的护理结果。结果:护理前,两组HAMD、HAMA评分比较,差异无统计学意义(P>0.05);护理后,试验组HAMD、HAMA低于参照组(P<0.05)。护理前,两组NIHSS、FMA评分比较,差异无统计学意义(P>0.05);护理后,试验组NIHSS低于参照组,但FMA高于参照组(P<0.05)。试验组并发症发生率为10.00%,低于参照组的27.50%(P<0.05)。护理前,两组生活质量评分比较,差异无统计学意义(P>0.05);护理后,试验组各项生活质量评分均高于参照组(P<0.05)。结论:将中医护理方案应用于中风后痉挛性瘫痪患者后,可稳定患者情绪,增强肢体运动能力,改善神经功能,并发症少,安全性高,值得应用。
Objective:To explore the effect of traditional Chinese medicine nursing scheme on spastic paralysis after stroke.Method:A total of 80 patients with spastic paralysis after stroke in Zhaoqing Duanzhou Huatuo Hospital from January 2020 to January 2021 were selected,and divided into the experimental group(TCM nursing scheme)and the reference group(routine nursing scheme)by random samping,with 40 patients in each group.The scores of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),National Institutes of Health stroke scale(NIHSS),Fugl-Meyer assessment(FMA),the MOS item short from health survey(SF-36)were performed before and after nursing.The complications of the two groups were counted,and the nursing results of the two groups were compared.Result:There were no differences in HAMD and HAMA scores between the two groups before nursing(P>0.05).After nursing,the HAMD and HAMA in the experimental group were lower than those in the reference group(P<0.05).There were no significant differences in NIHSS and FMA scores between the two groups before nursing(P>0.05).After nursing,NIHSS in the experimental group was lower than that in the reference group,but FMA was higher than that in the reference group(P<0.05).The complication rate in the experimental group was 10.00%,which was lower than 27.50%in the reference group(P<0.05),and there were no significant differences in quality of life between the two groups before nursing(P>0.05).After nursing,the scores of quality of life in the experimental group were higher than those in the reference group(P<0.05).Conclusion:The application of traditional Chinese medicine nursing scheme to patients with spastic paralysis after stroke can stabilize patients’mood,enhance limb motor ability,improve neurological function,have less complications and high safety,which is worthy of application.
作者
黄海珍
HUANG Haizhen(Zhaoqing Duanzhou Huatuo Hospital,Zhaoqing 526060,China)
出处
《中外医学研究》
2022年第33期76-80,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2018年肇庆市科技创新指导类项目(201804031321)。
