社区脑卒中中医药综合防治模式对脑梗死患者日常生活活动能力和生活质量的影响

Effect of Chinese medicine on activities of daily living and quality of life in patients of community hospitals with cerebral infarction

目的观察社区脑卒中中医药综合防治模式对脑梗死患者日常生活活动能力(ADL)和生活质量的影响。方法建立社区脑卒中中医药综合防治模式,并采取自身对照方法,对34例发病在1年以内的脑梗死患者进行干预,疗程为6个月。采用ADL量表和WHOQOL-BREF量表观察患者日常生活活动能力和生活质量变化情况。结果与入组时ADL评分比较,干预1个月时差异无统计学意义(P>0.05),干预3个月及干预6个月时差异有统计学意义(P<0.05);干预3个月、干预6个月与干预1个月时ADL评分比较,差异有统计学意义(P<0.05);干预3个月与干预6个月时ADL评分比较,差异无统计学意义(P>0.05)。干预6个月后与入组时比较,生活质量评分差异有统计学意义(P<0.05)。结论社区脑卒中中医药综合防治模式融合了预防、临床医疗、康复等手段,可明显改善脑梗死患者的日常生活活动能力和生活质量。

Objective To observe the effect of Chinese medicine on activities of daily living（ADL） and quality of life（QOL） in patients of community hospitals with cerebral infarction.Methods Comprehensive prevention model was established and self-reflection method was employed.Thirty-four cases which occurred in 1 year were intervened by Chinese medicine,with the course of 6 months.The ADL and QOL were observed by ADL scale and WHOQOL-BREF scale.Results Compared with the baseline,no significant was found in ADL score after 1 month（P0.05）.There were signifiant differences in ADL score between 3 months and 6 months（P0.05）;there were signifiant differences in ADL score between 1 month,3 months and 6 months（P0.05）;no signifiant difference in ADL score between 3 months and 6 months（P0.05）.Compared with the baseline,there was a signifiant difference in QOL score after 6 months（P0.05）.Conclusion Comprehensive prevention model by Chinese medicine in community hospitals merges together with prevention,medical treatment and recovery,and can improve ADL and QOL in patients of community hospitals with cerebral infarction.