中医综合康复护理对脑出血偏瘫患者的护理效果

摘要

目的 探讨中医综合康复护理对脑出血偏瘫患者的护理效果.方法 选取解放军第一七四医院2015年1月～2016年12月收治的124例脑出血偏瘫患者,按照随机数字表法分为中医综合康复护理组和常规护理组,每组62例,分别给予中医综合康复护理和常规护理.比较两组临床疗效及护理前后运动功能、日常生活能力、心理功能.结果 中医综合康复护理组总有效率高于常规护理组(P＜0.05).两组护理后Fugl-Meyer运动功能评分、Berg平衡功能评分、Barthel指数评分均显著高于护理前(P＜0.01),中医综合康复护理组护理后各量表评分显著高于常规护理组(P＜0.01).两组护理后汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分显著低于护理前(P＜0.01),中医综合康复护理组护理后各量表评分显著低于常规护理组(P＜0.01).结论 中医综合康复护理模式可提升脑出血偏瘫患者的临床疗效,显著改善患者运动功能、日常生活能力及心理功能,具有一定的临床推广价值.%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.