摘要
目的探讨针灸联合辨证施护在颅脑损伤(CCI)患者中的应用效果.方法回顾性分析我院2019年1月—2021年12月收治的86例CCI患者的临床资料,按照干预方法的不同分为观察组与对照组.两组患者入院后均接受常规治疗,在此基础上,对照组(n=43)采用辨证施护,观察组(n=43)采用针灸联合辨证施护,两组均持续干预3周.对比两组患者的日常生活活动能力、生活质量及并发症发生情况.结果干预后,观察组的日常生活能力评分为(62.63±9.93)分,高于对照组的(55.60±8.62)分,差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷中心理、躯体、社会功能及物质生活评分分别为(64.60±6.68)分、(65.56±4.82)分、(66.29±6.68)分、(64.68±6.11)分,均高于对照组的(56.19±4.09)分、(56.59±4.88)分、(56.56±5.53)分、(55.78±5.60)分,组间差异有统计学意义(P<0.05).观察组的并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05).结论针灸联合辨证施护能提高CCI术后患者的日常生活活动能力及生活质量,降低并发症发生率,值得临床推广使用.
Objective To investigate the effect of acupuncture combined with syndrome differentiation nursing in patients with craniocerebral injury(CCI).Methods The clinical data of 86 patients with CCI admitted to our hospital from January 2019 to December 2021 were retrospectively analyzed and were divided into an observation group and a control group according to different intervention methods.Both groups received routine treatment after admission.On this basis,the control group(n=43)received syndrome differentiation nursing,and the observation group(n=43)received acupuncture combined with syndrome differentiation nursing.Both groups continued intervention for 3 weeks.The activities of daily living,quality of life and complications were compared between the two groups.Results After intervention,the activities of daily living score of the observation group was(62.63±9.93)points,higher than(55.60±8.62)points of the control group,the difference was statistically significant(P<0.05).After intervention,the scores of psychological,physical,social function and material life in the generic quality of life inventory-74 of the observation group were(64.60±6.68)points,(65.56±4.82)points,(66.29±6.68)points,(64.68±6.11)points,respectively,which were higher than(56.19±4.09)points,(56.59±4.88)points,(56.56±5.53)points and(55.78±5.60)points of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.65%,lower than 18.60%in the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with syndrome differentiation nursing can improve the activities of daily living and quality of life of CCI patients after surgery,reduce the incidence of complications,and is worthy of clinical application.
作者
时春玲
王丽
贺桂秀
SHI Chunling;WANG Li;HE Guixiu(Department of Medical Records,People’s Hospital of Rizhao,Rizhao Shandong,276800,China;Department of Neurosurgery,People’s Hospital of Rizhao,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2023年第1期20-22,36,共4页
Reflexology And Rehabilitation Medicine
关键词
颅脑损伤
针灸
辨证施护
日常生活活动能力
生活质量
Craniocerebral injury
Acupuncture
Syndrome differentiation nursing
Activities of daily living
Quality of life