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中西医结合康复护理方案优化在脑梗死后遗症中的临床应用效果
引用本文:冯艳华,王如然,丁文涛,张蕊,高妍彦,常丽英.中西医结合康复护理方案优化在脑梗死后遗症中的临床应用效果[J].中国心血管病研究杂志,2015,13(7).
作者姓名:冯艳华  王如然  丁文涛  张蕊  高妍彦  常丽英
作者单位:中国中医科学院广安门医院南区康复中心,中国中医科学院广安门医院南区外科,中国中医科学院广安门医院南区针灸科,中国中医科学院广安门医院南区清源中心,中国中医科学院广安门医院南区针灸科,襄樊市中心医院
基金项目:湖北省卫生厅课题:不同的康复启动时间及康复措施对脑梗死后神经结构和功能重塑的影响,编号:JX3B51
摘    要:目的:探讨中西医结合康复护理方案优化在脑梗死后遗症中的临床应用效果。方法:脑梗死后遗症患者140例根据随机抽签原则分为治疗组与对照组各70例,对照组给予常规西医干预,治疗组在对照组干预的基础上给予积极的肢体功能锻炼与针灸干预,持续干预4周。结果:干预治疗后, 对照组和治疗组的有效治疗率分别达到82.9%和95.7%,治疗组的有效率经过卡方检验明显高于对照组(P<0.05)。干预前两组眩晕和不稳程度评分对比差异无统计学意义,干预后治疗组的眩晕和不稳程度评分明显低于对照组(P<0.05)。两组干预后的日常生活能力与运动功能评分都明显高于干预前,同时干预后治疗组的运动功能与日常生活能力评分显著优于对照组(P<0.05)。对照组和治疗组患者在干预过程中未出现严重不良反应。结论:中西医结合康复护理方案优化在脑梗死后遗症中的临床应用能有效改善临床症状,促进日常生活能力与运动功能的恢复,安全性好,从而提高预后疗效。

关 键 词:脑梗死  后遗症  针灸  护理方案
收稿时间:2015/3/4 0:00:00
修稿时间:2015/6/8 0:00:00

Integrative rehabilitation optimization care in the clinical application of sequelae of cerebral infarction
wangruran,dingwentao,zhangrui,gaoyanyan and changliying.Integrative rehabilitation optimization care in the clinical application of sequelae of cerebral infarction[J].Chinese Journal of Cardiovascular Review,2015,13(7).
Authors:wangruran  dingwentao  zhangrui  gaoyanyan and changliying
Institution:Guanganmen Academy of traditional Chinese medicine hospital Chinese South surgery,South China Acupuncture Department of Guanganmen Hospital of traditional Chinese Medicine Academy of Sciences,Guanganmen Academy of traditional Chinese medicine hospital China South Qingyuan Center,South China Acupuncture Department of Guanganmen Hospital of traditional Chinese Medicine Academy of Sciences,Xiangfan Central Hospital
Abstract:Objective: To investigate the integrative rehabilitation optimization care ways and effects in the clinical application of sequelae of cerebral infarction. Methods: 140 patients with sequelae of cerebral infarction based on a random draw into the treatment group and the control group , the control group were treated with conventional Western medicine intervention, the treatment group were added received positively limb function exercises and acupuncture intervention that continued intervention 4 weeks. Results: The response rates in the treatment group and the control group after intervention were 95.7% and 82.9% respectively that compared by the chi-square test were significantly difference (P <0.05). Before the intervention, the dizziness and instability scores compared in the two groups showed no significant difference, after the intervention, the dizziness and instability severity scores in the treatment group were significantly lower than the control group (P <0.05).The daily living and motor function scores after intervention in the two groups were significantly higher than the intervention, and the daily living and motor function scores after intervention in the treatment group were significantly higher (P <0.05). Two groups of patients did not appear serious adverse events in the intervention process. Conclusion: Integrative rehabilitation optimization care in the clinical application of sequelae of cerebral infarction can effectively improve the clinical symptoms, and promote the recovery of daily living and motor function, its safety, and to improve the prognosis of efficacy.
Keywords:Cerebral infarction  sequelae  acupuncture  care programs
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