中医护理方案在中风急性期病症中的应用及效果评价

Abstract
Figure/Table
References (28)
Related Citation (15)

Download: PDF (636 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To discuss the application and effect evaluation analysis of traditional Chinese medicine nursing program in the acute stage of stroke. Methods A total of 102 patients with acute stroke admitted to the Eye Hospital of the Chinese Academy of Chinese Medical Sciences from January 2019 to January 2021 were selected. They were divided into control group and study group by random number table method, with 51 cases in each group. The control group used conventional nursing, and the study group used traditional Chinese medicine nursing program on this basis. The neurological deficit, daily living ability and traditional Chinese medicine syndrome score of the two groups were evaluated, and the nursing effects, anxiety and depression of the two groups were compared. Results There was no statistically significant difference between the two groups before the intervention on the scores of the National Institutes of Health stroke scale (NIHSS), clinical symptom, and activities of daily living (ADL) (P ＞ 0.05). After the intervention, the scores of NIHSS, traditional Chinese medicine symptom, and ADL of the two groups were lower than those before the intervention, and the study group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). The effective rate of nursing care in the study group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). In the pre-intervention hospital anxiety and depression scale (HADS) between the two groups, the difference between HADS-A and HADS-D scores were not statistically significant (P ＞ 0.05). After the intervention, HADS-A and HADS-D in the two groups were lower than before the intervention, and the study group was lower than the control group (P ＜ 0.05). Conclusion The nursing effect of traditional Chinese medicine nursing program for patients with acute stroke is better, which can effectively improve the anxiety and depression of the patient, improve the nursing effect, and reduce the patient’s neurological deficit, traditional Chinese medicine symptom score and ability of daily living.

Key words： Traditional Chinese medicine nursing program Acute stroke The National Institutes of Health stroke scale Activities of daily living Depression score Application effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Xiaoxiao KONG Tingting▲

Cite this article:

WANG Xiaoxiao KONG Tingting▲. Application and effect evaluation of traditional Chinese medicine nursing program in the acute stage of stroke#br#[J]. 中国医药导报, 2021, 18(31): 172-175.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I31/172

[1] 王洁，周佩洋，赛金萍.护理流程优化对急性脑梗死患者溶栓成功率及抢救时间的影响[J].中国中西医结合急救杂志，2019，26（6）：713-715.
[2] Gao G，Leung SW，Jia Y. Serious Concerns About the RCT Study Quality of Traditional Chinese Medicine Injections for Treating Cardiovascular Diseases and COVID-19 [J]. Cardiovasc Drugs Ther，2021，35（1）：191-193.
[3] 张艳培，杨丹丹，周源，等.中医养阴活血法在缺血性中风疾病中的临床应用[J].中华中医药学刊，2019，37（12）：204-206.
[4] 尤焱南，周涛，赵霞.《中医病证诊断疗效标准》修订中文献研究法探析[J].中医药导报，2019，343（21）：26-29.
[5] 脑小血管病诊治专家共识组.脑小血管病诊治专家共识[J].中国临床医生杂志，2014，25（1）：84-87.
[6] 孟庆贵.小剂量rt-PA静脉溶栓治疗高龄超急性期脑梗死患者的临床分析[J].中国医药指南，2020，18（29）：95-96.
[7] 白健鹏.中药益气活血通络汤治疗缺血性脑中风98例分析[J].中国医药指南，2020，18（3）：183-184.
[8] 卢明，杜宝新，欧爱华，等.阴阳类证辨证综合治疗对出血中风急性期患者中医证候积分的影响[J].时珍国医国药，2011，21（4）：999-1001.
[9] 徐欣怡，许勤.简明围术期疲劳评测量表的汉化及其在消化道肿瘤术后患者中的应用价值研究[J].中国全科医学，2019，22（2）：210-214.
[10] 杨玉梅，封蕾，杨希，等.社区健康教育对急性脑梗死静脉溶栓治疗的影响[J].中风与神经疾病杂志，2019，250（6）：52-56.
[11] 李萌，盖海云，陈红.云随访平台在缺血性脑卒中恢复期偏瘫患者延续性护理中的应用[J].重庆医学，2020， 49（17）：178-183.
[12] Liang F，Dong L，Zhou L，et al. Traditional Chinese medicine for symptoms of upper respiratory tract of COVID-19：A protocol for systematic review and meta-analysis [J]. Medicine（Baltimore），2020，99（30）：e21320.
[13] 侯志峰，叶李晨，赵东升，等.后循环缺血性中风患者脑血管造影结果与中医证型相关性的临床研究[J].辽宁中医杂志，2019，511（12）：148-151.
[14] 李进，史载祥.《金匮要略·中风历节病脉证并治》中风病范畴探析[J].中医杂志，2020，61（12）：26-29.
[15] 董湘萍，徐朝霞，张岚，等.预见性护理在依达拉奉治疗急性脑梗死中的应用及对患者NIHSS评分的影响[J].中国全科医学，2019，22（S2）：214-216.
[16] Liu R，Yu X，Zhang L，et al. Computed tomography （CT） imaging evaluation of integrated traditional Chinese medicine cooperative therapy in treating acute cerebral infarction：A randomized controlled trial [J]. Medicine（Baltimore），2020，99（18）：e19998.
[17] 屠静静，裘丽媛，俞臻赟.中风通脉汤联合康复训练对急性脑梗塞患者神经功能和免疫功能的影响[J].中华中医药学刊，2019，37（12）：236-239.
[18] 居磊磊，金星，孟兆祥，等.镜像疗法引导的运动想象训练治疗急性期脑卒中后吞咽障碍的疗效观察[J].中华物理医学与康复杂志，2019，41（9）：671-673.
[19] Zhang X，Zhang XF，Wang L，et al. Analysis of Clinical Efficacy of Traditional Chinese Medicine in Recovery Stage of Stroke：A Systematic Review and Meta-Analysis [J]. Cardiovasc Ther，2020，24（1）：1-35.
[20] 陈越，皮红英，宋杰，等.临床决策支持系统在脑卒中患者护理中的应用进展[J].中华护理杂志，2019，54（12）：140-143.
[21] 谭艳，周聪，黄柔，等.基于中医传承辅助平台探讨孟河名医贺季衡治疗中风病用药规律研究[J].中药药理与临床，2020，209（5）：209-213.
[22] 张健，聂志玲，张腾.缺血性中风急性期气虚证与神经功能缺损程度及预后关系研究[J].中华中医药杂志，2019，34（10）：410-414.
[23] 罗菁，崔韶阳，王曙辉，等.中风后吞咽障碍的中医证型分布特点初探[J].中华中医药杂志，2019，34（2）：820-823.
[24] 吴志敏，赵娜，胡万华.中风Ⅱ号对脑梗死急性期患者神经功能及BDNF、VEGF表达的影响[J].中国现代医生，2019，57（18）：109-112.
[25] 刘涛，唐涛.基于蛋白质组学方法对急性期中风的物质基础及相关机制的研究[J].中国医药导报，2021，18（10）：12-18.
[26] 王晓光，刘敬霞，刘超，等.中医病症结合临床治疗急性缺血性中风的研究进展[J].辽宁中医杂志，2019，46（1）：224-226.
[27] 张明珠，焦莹，王玉君，等.中药灌肠治疗中风急性期顽固性呃逆36例的疗效观察[J].中华中医药杂志，2019， 34（3）：428-430.
[28] Feng LP，Su JH，Chi RX，et al. Effect of amlodipine besylate combined with acupoint application of traditional Chinese medicine nursing on the treatment of renal failure and hypertension by the PI3K/AKT pathway [J]. Int J Mol Med，2019，43（4）：1900-1910.