中药贴敷护理应用于脑震荡后头痛患者中的效果

Effect of Traditional Chinese Medicine Sticking Nursing Applied to Patients with Post- Concussion Headache

目的观察脑震荡后头痛患者采用中药贴敷护理的效果.方法选取2020年10月—2021年5月于本院就诊的脑震荡后头痛患者50例为研究对象,以随机双盲法对患者进行分组,组别设为对照组、观察组,每组25例.两组均接受药物治疗,对照组采用常规护理,观察组在此基础上采用中药贴敷护理,比较两组的护理效果、中医证候积分、功能指标及伴随症状发生情况.结果观察组的护理总有效率为92.00%,显著高于对照组的68.00%,差异有统计学意义(P<0.05).干预前,两组的中医证候积分对比,差异无统计学意义(P>0.05);干预后,观察组的头痛发作次数、头痛程度、头痛持续时间积分均显著低于对照组,组间差异有统计学意义(P<0.05).干预前,两组的运动脑震荡评估量表(SCAT-2)评分、Barthel指数(BI)评分及世界卫生组织生活质量评定量表简表(WHOQOL-BREF)评分比较,差异无统计学意义(P>0.05);干预后,观察组的SCAT-2评分、BI评分、WHOQOL-BREF评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的伴随症状发生率为4.00%,低于对照组的24.00%,差异有统计学意义(P<0.05).结论脑震荡后头痛患者采用中药贴敷护理的效果显著,可改善临床症状,减少头痛发作次数和缩短头痛持续时间,降低各种伴随症状的发生率,值得临床推广普及.

Objective To observe the nursing effect of traditional Chinese medicine sticking on patients with headache after concussion.Methods A total of 50 patients with post-concussion headache treated in our hospital from October 2020 to May 2021 were selected as the research objects,and the patients were divided into two groups by randomized double-blind method.The groups were set as a control group and an observation group,with 25 patients in each group.Both groups received drug therapy,the control group used conventional nursing,the observation group used traditional Chinese medicine sticking nursing on this basis.The nursing effect,TCM syndrome score,functional index and occurrence of accompanying symptoms were compared between the two groups.Results The total effective rate of the observation group was 92.00%,significantly higher than 68.00%of the control group,the difference was statistically significant(P<0.05).Before intervention,there were no significant difference in TCM syndrome scores between the two groups(P>0.05);after intervention,the scores of headache frequency,headache degree and headache duration in the observation group were significantly lower than those in the control group,the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in sport concussion assessment tool(SCAT-2)score,Barthel index(BI)score and World Health Organization quality of life-BREF scale(WHOQOL-BREF)score between the two groups(P>0.05);after intervention,the SCAT-2 score,BI score and WHOQOL-BREF score of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of accompanying symptoms in the observation group was 4.00%,lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing effect of traditional Chinese medicine sticking for patients with post-concussion headache is significant,which can improve the clinical symptoms,reduce the frequency and time of headache attack,and reduce the incidence of various accompanying symptoms.It is worthy of clinical popularization.