早期中医康复治疗与护理干预对急性缺血性脑卒中患者的影响

目的 探讨早期中医康复治疗与护理干预对急性缺血性脑卒中患者功能预后的影响.方法 将80例急性缺血性脑卒中患者随机分为康复组42例和对照组38例.对照组采用内科基础治疗,康复组在内科基础治疗的基础上加用中医康复治疗与护理干预.治疗时间均为4周.评价治疗前后的神经功能缺损情况、生活活动能力、认知功能障碍水平及不良反应.结果 康复组临床疗效有效率为83.3%,显著高于对照组(52.6%);治疗后2组卒中量表计分均降低,与治疗前比较有显著差异,且康复组显著低于对照组;治疗后2组生活活动能力计分均上升,与治疗前比较有显著差异,且康复组显著高于对照组;精神状态量表计分在组内、组间比较差异不明显;2组患者在治疗期间均未发生明显不良反应.结论 早期中医康复治疗与护理干预是促进急性缺血性脑卒中患者功能恢复的有效方法 ,值得临床推广应用.

Influence of early traditional Chinese medicine rehabilitation therapy and nursing intervention on patients with acute ischemic stroke

Objective To investigate the influence of early traditional Chinese medicine(TCM) re-habilitation therapy and nursing intervention on functional prognosis of patients with acute ischemic stroke (AIS). Methods 80 cases with AIS were divided randomly into the rehabilitation group (42 cases) and the control group (38 cases). Both groups were similar in basic medical treatment, and an additional treat-ment of TCM rehabilitation therapy and nursing intervention was given to the rehabilitation group. The treat-ment time of beth groups was 4 weeks. The neurologic impairment, activities of daily living, cognitive im-pairment and adverse reactions in pre and post treatment were evaluated. Results The clinical efficacy of the rehabilitation group was 83.3%, which was higher than that of the control group (52.6%). NIHSS score after treatment was reduced compared with that before treatment, the NIHSS score of the rehabilitation group was lower than that of the control group. The ADL score after treatment increased compared with be-fore treatment, and the rehabilitation group was significantly higher than the control group. The intra-group and inter-group differences of MMSE score were not statistically significant, no obvious side effects hap-pened. Conclusions Early TCM rehabilitation therapy and nursing intervention proves to be effective for AIS functional recovery and worthy of clinical application.