中医护理干预对脑梗死偏瘫肢体功能恢复影响.docVIP

中医护理干预对脑梗死偏瘫肢体功能恢复的影响 　　[摘要] 目的 探讨中医护理对脑梗死偏瘫患者疗效的影响。 方法 选择2010年1月～2014年1月我院收治入院的200例脑梗死偏瘫患者作为研究对象，将其随机分成观察组和对照组，每组100例。对照组进行常规护理，观察组在常规护理基础上采用中医护理干预方式。对两组患者护理干预后的运动功能、日常生活能力、肌力进行评估和分析。 结果 实施护理干预后，观察组的运动功能和日常生活能力、患肢肌力、活动能力均优于对照组，两组差异有统计学意义（P0.05）。 结论 中医护理干预能显著提高脑梗死偏瘫患者的肢体功能，疗效显著，值得临床推广应用。 　　[关键词] 中医护理干预；脑梗死偏瘫；肢体功能 　　[中图分类号] R248.1 [文献标识码] A [文章编号] 1674-4721（2015）09（a）-0192-04 　　[Abstract] Objective To investigate the influence of traditional Chinese medicine nursing on the efficacy for patients with cerebral infarction hemiplegia. Methods 200 patients with cerebral infarction hemiplegia treated in our hospital from January 2010 to January 2014 were selected as the study subjects. They were randomly divided into observation group and control group，with 100 patients in each group. The control group was given routine nursing，the observation group was given additional traditional Chinese medicine nursing intervention on the basis of routine nursing.The motor function，daily living ability and muscle strength in two groups after nursing intervention was evaluated and analyzed. Results After the implementation of nursing intervention，the motor function，daily living ability， limb muscle strength and activity ability in observation group better than that of the control group，there was significant difference between two groups（P0.05）. Conclusion Traditional Chinese medicine nursing intervention can significantly improve the limb function of the patients with cerebral infarction hemiplegia and shows remarkable efficacy，it is worthy of clinic application. 　　[Key words] Traditional Chinese medicine nursing intervention；Cerebral infarction hemiplegia；Limb function 　　脑梗死是神经系统的常见病、多发病，其病死率高，且50%～70%的存活者可存在不同程度的瘫痪、失语等严重残疾，严重影响患者的生活质量，给家庭和社会带来沉重的负担[1]，因此，康复期对患者进行积极干预以促进其功能恢复具有重要意义。临床上主张在急性脑卒中患者意识清醒及生命体征平稳后即开始进行早期康复治疗，因患者患病后常伴有不同程度的神经功能受损，及早对患者实施康复训练能够预防脑卒中后的后遗症或并发症，使患者最大限度地恢复身心健康，以提高临床治疗效果，减少并发症与后遗症的发生。我院对100例脑梗死患者采取针对性的中医护理干预取得了满意效果，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2010年1月～2