中西医结合护理促进脑出血显微术后患者康复的临床效果

目的探讨中西医结合护理干预对脑出血显微术后患者康复的临床效果。方法将2010年1月～2013年1月浙江医院收治的基底节区脑出血经侧裂-岛叶入路显微手术治疗患者60例，按照随机分组原则分为观察组与对照组，每组各30例。对照组术后给予常规脑出血显微术后神经外科护理方案进行干预；观察组术后在常规护理方案的基础上，结合中医护理理论。进行中西医结合护理干预。护理干预10周后，对两组患者的临床神经功能缺损评分、Fugl—Meyer评分及Batbel指数评分进行比较。护理干预1年后，对两组患者的临床护理效果进行评价。结果观察组经过10周护理干预后，临床神经功能缺损评分、改良Fugl-Meyer评分、Batbel指数评分指标均较对照组有所改善，且差异均有统计学意义（t=4．782、7．908和8．117，P〈0．05或P〈0．01）。护理介入治疗1年后。观察组患者的总有效率为93．3％，优于对照组（73．3％），且差异有统计学意义（χ2=4．32．P〈0．05）。结论基底节区出血的患者采用经侧裂-岛叶入路显微手术结合术后中西医结合护理干预治疗能提高手术成功率，降低患者病死率，并能加速术后神经功能康复，较传统护理模式有一定的优势，是一种安全、有效的治疗方法。

Clinical effect of integrative care for promotion of cerebral hemorrhage patients rehabilitation after microsurgery

Objective To investigate clinical effect of integrative care for promotion of cerebral hemorrhage patients re- habilitation after mierosurgery. Methods 60 patients from January 2010 to January 2013 in Zhejiang Hospital between basal ganglia hemorrhage through lateral fissure - insular approach for microsurgical treatment of after surgery, in ac- cordance with the principle of randomization were divided into observation group and control group with 30 cases in each group. The control group were treated with routine postoperative cerebral hemorrhage microsurgery neurosurgery care program intervention; observation group were given the conventional care regimens combined with traditional Chi- nese medicine nursing theory, for integrative nursing intervention. Nursing intervention after 10 weeks, two groups of patients in clinical neurological deficit score, Fugl-Meyer score and Batbel index scores were compared. Nursing inter- vention after 1 year, the effect of clinical care in two groups of patients were evaluated. Restflts Compared with the control group, observation group improved after 10 weeks of nursing intervention with clinical neurological deficit score, Fugl-Meyer score and Batbe] index scores, and the differences were statistically significant （t = 4.782, 7.908, 8.117, P 〈 0.05 or P 〈 0.01）. Nursing interventions after 1 year of treatment, the total effective rate of patients in observation group was 93.3%, which was better than 73.3% of the control group, and the difference was statistically significant （χ2=4.32, P 〈 0.05）. Conclusion Basal ganglia hemorrhage treated by lateral fissure - insular approach combining surgery micro- surgery integrative care intervention can improve the success rate and reduce the mortality, and can accelerate postop- erative neurological rehabilitation, the more traditional care model has certain advantages too, and it is a safe and ef- fective method of treatment.