中医卒中单元下的健康教育对气虚型中风病人的作用.pdfVIP

提 要 目的：为气虚型脑卒中的预防和治疗找出一种在中医理论指导下的新模式、新 方法。方法：将 60 例气虚型中风患者随机分为中医健康教育组（观察组）与西医健 康教育组（对照组）。观察组采取中医理论指导下的健康教育，即采取不限制饮食， 减少运动量等健康教育内容。对照组采取低盐、低脂饮食，限制总热量摄取，每天 运动 1-2 小时。结果：治疗后两组比较，气虚证积分、神经功能评价、生活能力评 价均有统计学意义（P﹤0.05）；观察组的医疗满意度评分明显高于对照组（P﹤0.05）； 6 月末观察组的再入院和病死人次、并发症发生率、住院总费用和天数明显低于对 照组（P﹤0.05）。结论：与现代医学的健康教育内容相比，中医理论指导下的健康 教育能提高气虚型中风病人的日常生活能力，提高病人满意度，减少再入院率和并 发症，从而降低治疗成本。 关键词 中风；气虚；健康教育；卒中单元 The Influence of Health Education under TCM Stroke Unit in Treating Qi-deficiency Patients of Stroke Speciality:TCM cure diseases of the nervous system Author:Wei Hongyu Tutor:prof.Wang Fade Abstract Objective:To find a new model and new method on prevention and treatment Of Qi-deficiency type of stroke directed by TCM theory.Methods:60 cases of Qi-deficiency type of stroke patiens were randomly divided into TCM health education group (observation group)and Western Medicine health education(control group).patiens of Observation Group accepted the health education guided by TCM theory which required non-restricted diet and reduced physical activity.Those of control group took low-salt and low-fat diet,restricted total calorie intake and exercised 1-2 hours everyday.Results:Comparison between the two groups after treatment show that Qi-deficiency points,NIHSS and BI had statistically significant(P ﹤0.05);health care satisfaction score of observation group was significantly higher than control group(P ﹤ 0.05);6 months later,re-admission patients,died patients,incidence of complications,total cost of hospitalization and days in the observation Group was significantly lower than in the control group(P ﹤0.05).Conclusion:Compared with modern medicine,the hea