|
|
Nursing effect of comprehensive rehabilitation nursing of traditional Chinese medicine on cerebral hemorrhage patients with hemiplegia |
CAI Yuqin1 SHENG Bing2▲ |
1.Surgical Department, Neurology Center, the 174th Hospital of PLA, Fujian Province, Xiamen 361003, China;
2.Disinfection Supply Center, the 174th Hospital of PLA, Fujian Province, Xiamen 361003, China |
|
|
Abstract Objective To explore nursing effect of comprehensive rehabilitation nursing of traditional Chinese medicine on cerebral hemorrhage patients with hemiplegia. Methods 124 cerebral hemorrhage patients with hemiplegia were enrolled in the 174th Hospital of PLA from January 2015 to December 2016. The patients were divided into comprehensive rehabilitation nursing of traditional Chinese medicine group (62 cases) and routine nursing group (62 cases) by random number table method, which were given comprehensive rehabilitation nursing of traditional Chinese medicine and routine nursing care. The clinical efficacy, motor function, daily life ability and psychological function between two groups before and after treatment were compared. Results Total effective rate in comprehensive rehabilitation nursing of traditional Chinese medicine group was higher than that in routine nursing group (P < 0.05). Fugl-Meyer motor function scale, Berg balance function scale and Barthel index scores of two groups after nursing were significantly higher than before nursing (P < 0.01), the scores in comprehensive rehabilitation nursing of traditional Chinese medicine group were significantly higher than those in routine nursing group (P < 0.01). The scores of Hamilton anxiety scale and Hamilton depression scale of two groups after nursing were significantly lower than those before nursing (P < 0.01), the scores in comprehensive rehabilitation nursing of traditional Chinese medicine group were significantly lower those in routine nursing group (P < 0.01). Conclusion The comprehensive rehabilitation model of traditional Chinese medicine can improve the clinical curative effect of cerebral hemorrhage hemiplegia patients, significantly improve the motor function, daily living ability and psychological function, and has certain clinical promotion value.
|
|
|
|
|
[1] 张玉琴,朱丽莎.早期综合康复护理对脑出血后偏瘫患者预后的影响[J].齐鲁护理杂志,2012,18(10):101-102.
[2] 刘桂梅.脑卒中偏瘫患者的早期康复护理[J].中国实用神经疾病杂志,2012,15(22):90-91.
[3] 陈赟,钟印芹,张广清,等.专人管理模式在脑卒中偏瘫后遗症家庭康复护理中应用的效果评价[J].中国实用护理杂志,2015,31(9):654-656.
[4] 钟绍敏,吴斌,吴怡,等.中医护理促进脑卒中偏瘫患者康复的临床观察[J].中国中医急症,2015,24(1):184-186.
[5] 中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[6] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[7] 缪鸿石,朱镛连,吴弦光,等.脑卒中的康复评定和治疗[M].北京:华夏出版社,1996:8-12.
[8] 金冬梅,燕铁斌.Berg平衡量表及其临床应用[J].中国康复理论与实践,2002,8(3):155-157.
[9] 张雅静,张小兰,马延爱,等.Barthel指数量表应用于急性脑卒中患者生活能力测量的信度研究[J].中国护理管理,2007,7(5):30-32.
[10] 汪向东.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:127-133.
[11] 贾乐,杨东斌.脑出血患者病理学研究进展[J].中外医学研究,2013,11(2):154-155.
[12] 吴仕站,洪云.脑出血患者早期血肿形成扩大的危险因素及其相关性研究[J].中国当代医药,2015,22(34):55-57.
[13] 吴远水,李旭平,陈怡戎.脑出血血肿扩大临床评分标准的研究[J].中国当代医药,2016,23(22):43-45.
[14] 孙卫,习斌,刘健民.开颅手术与锥颅抽吸治疗脑出血的临床效果对比[J].中国当代医药,2016,23(22):46-48,66.
[15] 林海,李会忠,黄眉飞.脑出血术后继发再出血考虑血管淀粉样变的诊断与思考[J].中国当代医药,2016,23(28):65-68.
[16] 卢喜璋.早期高强度肢体功能锻炼在脑出血患者术后康复中的效果[J].中国当代医药,2016,23(33):53-55.
[17] Marsh EB,Gottesman RF,Hillis AE,et al. Predicting symptomatic intracerebral hemorrhage versus lacunar disease in patients with longstanding hypertension [J]. Stroke,2014, 45(6):1679-1683.
[18] Baron JC,Farid K,Dolan E,et al. Diagnostic utility of amyloid PET in cerebral amyloid angiopathy-related symptomatic intracerebral hemorrhage [J]. J Cerebral Blood Flow Metabol,2014,34(5):753-758.
[19] 刘秋菊,杨文博,盛雪平,等.中西医结合治疗出血性脑卒中患者功能康复的临床观察[J].甘肃中医学院学报,2010,27(3):32-35.
[20] 饶明俐,林世和.脑血管疾病[M].北京:人民卫生出版社,2012:36-40.
[21] 梁峰.早期情志护理对脑卒中患者情绪和治疗依从性的影响[J].齐鲁护理杂志,2016,22(19):86-88.
[22] 张琳.针灸结合康复训练治疗缺血性脑卒中偏瘫的临床效果[J].中国现代药物应用,2014,8(11):51-52.
[23] 武秋娣.中医综合护理对脑卒中偏瘫患者日常生活自理能力及运动功能的影响[J].国际护理学杂志,2014, 33(11):3075-3077.
[24] 李翠玲.脑卒中偏瘫患者行中医护理对生活质量的影响[J].中国保健营养,2013,23(3):1355-1356. |
|
|
|