中风病中医综合方案的依从性评价研究

目的:通过中医综合治疗方案对中风病患者的治疗执行率探讨临床治疗方案的依从性评价研究。方法:采集2012年3月至2014年12月多中心脑梗死患者264例入组当天、4 d、7 d、10 d、14 d、21 d、28 d,7个访视时点的临床信息(包括年龄、性别、治疗措施等)。根据课题组研制的"中医综合治疗方案实施过程评价表",从口服中药颗粒剂、中药注射液、针灸治疗、推拿治疗、康复治疗6个方面评价中风病中医综合治疗方案的依从性。结果:本研究发现中药配方颗粒、中药注射液的执行情况较好,分别占80.32%、63.74%;针灸治疗、推拿治疗、康复治疗的执行情况较差,分别为51.58%、45.95%、30.74%。中风病患者随着时间推移口服中药颗粒剂、中药注射液、针灸治疗、推拿治疗、康复治疗执行情况逐渐下降。在中风病急性期患者治疗期间针灸治疗、康复和推拿治疗随着访视时点逐渐升高后下降。结论:中医综合方案中依从性好的治疗措施易于患者接受,具有较高地临床可推广性、可操作性。本研究发现口服中药配方颗粒、中药注射液的依从性较好。

Study on Compliance Evaluation of Comprehensive Treatment of Traditional Chinese Medicine on Stroke

To investigate the compliance evaluation of clinical treatment through comprehensive treatment of traditional Chinese medicine (TCM) on the rate of treatment enforcement on stroke patients.Methods:Clinical information (age, gender, treatment measures) of 264 patients with cerebral infarction at the day of enrolled, day 4, day 7, day 10, day 14, day 21, and day 28 were collected.According to the Evaluation Form of Implementation Process on Comprehensive Treatment of TCM developed by the team, the compliance of comprehensive treatment of TCM on stroke was evaluated from 6 aspects of orally administration of Chinese herbal granule, Chinese herb injection, acupuncture and moxibustion, tuina, and rehabilitation.Results:This study found that the implement situations of Chinese herbal granule and Chinese herb injection were good, accounting for 80.32% and 63.74% respectively.And the implement situations of acupuncture and moxbustion, tuina, and rehabilitation were bad, accounting for 51.58%, 45.95% and 30.74% respectively.As time goes by, the compliance of Chinese herbal granule, Chinese herb injection, acupuncture and moxibustion, tuina, and rehabilitation was gradually decreased for patients with stroke.During the acute phase of stroke, the compliance of acupuncture and moxibustion, tuina, and rehabilitation was gradually increased, and then decreased.Conclusion:The treatment method with good compliance in comprehensive treatment of TCM is easy to be accepted by patients, with high clinical promotion and operability.This study found oral administration of Chinese herbal granule and Chinese herb injection has good compliance.