摘要
目的分析情志护理配合四子散(莱菔子、紫苏子、白芥子、吴茱萸)热奄包治疗脑动脉供血不足的疗效。方法选择脑动脉供血不足患者64例,按照随机法原则分为对照组(n=32)、观察组(n=32)。对照组采用常规西医治疗,观察组在对照组基础上应用情志护理配合四子散热奄包治疗。对比两组治疗效果,中医证候积分,血液流变学指标,血管储备功能,健康状况。结果观察组治疗总有效率为96.88%,显著高于对照组的75.00%(P<0.05)。治疗后,两组中医证候积分均低于治疗前,且观察组中医证候积分(8.24±1.56)分显著低于对照组的(12.19±1.42)分(P<0.05)。治疗后,观察组全血高切粘度、全血低切粘度、血浆粘度、纤维蛋白原分别为(4.89±0.40)mPa·s、(9.31±1.49)mPa·s、(1.35±0.16)mPa·s、(3.32±1.19)g/L,显著低于对照组的(6.02±0.35)mPa·s、(11.93±1.26)mPa·s、(2.27±0.29)mPa·s、(4.45±1.10)g/L(P<0.05)。治疗后,观察组屏气指数(BHI)(1.15±0.18)高于对照组的(1.01±0.08),阻力指数(RI)(0.51±0.07)低于对照组的(0.56±0.04)(P<0.05)。治疗后,两组生理健康、心理健康、生活功能、社会功能评分高于治疗前,且观察组生理健康、心理健康、生活功能、社会功能评分分别为(65.79±4.66)、(78.75±3.66)、(75.98±5.56)、(89.13±4.08)分,高于对照组的(52.04±5.37)、(65.06±3.03)、(68.35±6.02)、(80.06±4.06)分(P<0.05)。结论情志护理配合四子散热奄包治疗脑动脉供血不足可以更有效地缓解患者的症状,改善患者的中医证候积分及血液流变学指标,增强患者的血管储备功能,提高患者的生活质量。
Objective To analyze the therapeutic effect of emotional nursing combined with Sizi San(semen raphani,perilla seed,white mustard seed,tetradium ruticarpum)heat dissipation therapy on cerebral arterial insufficiency.Methods A total of 64 patients with cerebral arterial insufficiency were randomly divided into a control group(n=32)and an observation group(n=32).The control group received routine Western medicine treatment,while the observation group received emotional nursing combined with Sizi San heat dissipation therapy on the basis of the control group.The therapeutic effect,traditional Chinese medicine syndrome score,hemorheological indicators,vascular reserve function and health status of the two groups were compared.Results The total effective rate of the observation group was 96.88%,which was significantly higher than 75.00%of the control group(P<0.05).After treatment,the traditional Chinese medicine syndrome score in both groups was lower than that before treatment,and the traditional Chinese medicine syndrome score of(8.24±1.56)points in the observation group was significantly lower than(12.19±1.42)points in the control group(P<0.05).After treatment,the whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity and fibrinogen in the observation group were(4.89±0.40)mPa·s,(9.31±1.49)mPa·s,(1.35±0.16)mPa·s and(3.32±1.19)g/L,which were significantly lower than(6.02±0.35)mPa·s,(11.93±1.26)mPa·s,(2.27±0.29)mPa·s and(4.45±1.10)g/L in the control group(P<0.05).After treatment,the breath holding index(BHI)of(1.15±0.18)in the observation group was higher than(1.01±0.08)in the control group,and the resistance index(RI)of(0.51±0.07)in the observation group was lower than(0.56±0.04)in the control group(P<0.05).After treatment,the scores of physical health,mental health,life function and social function of the two groups were higher than those before treatment;the scores of physical health,mental health,life function and social function in the observation group were(65.79±4.66),(78.75±3.66),(75.98±5.56)and(89.13±4.08)points,which were higher than(52.04±5.37),(65.06±3.03),(68.35±6.02)and(80.06±4.06)points in the control group(P<0.05).Conclusion Emotional nursing combined with Sizi San heat dissipation therapy can more effectively alleviate the symptoms of patients with cerebral arterial insufficiency,improve their traditional Chinese medicine syndrome scores,improve their hemorheological indicators,enhance their vascular reserve function,and improve their quality of life.
作者
张全秀
廖绍斌
袁恩
刘玲
刘红才
黄燕美
ZHANG Quan-xiu;LIAO Shao-bin;YUAN En(Emergency Department,Xunwu County People's Hospital,Ganzhou 342200,China)
出处
《中国现代药物应用》
2024年第15期116-120,共5页
Chinese Journal of Modern Drug Application
基金
江西省中医药管理局科技计划(项目编号:2023B0589)。
关键词
脑动脉供血不足
情志护理
四子散热奄包
临床疗效
中医治疗
Cerebral arterial insufficiency
Emotional nursing
Sizi San heat dissipation therapy
Clinical efficacy
Traditional Chinese medicine treatment
