辨证护理老年性血管性痴呆50例

The Analyse and Differentiate Diseases Care of Senile and Vascular Dementia 50 cases

[目的]观察辨证护理老年性血管性痴呆效果。[方法]对50例住院患者实施辨证护理,并配合一般护理(包括日常生活、饮食、安全、心理、功能锻炼、药物治疗护理等);根据患者临床特点,辨证分型为肝肾阴虚、痰瘀阻络,肾精亏虚、髓海不足,痰瘀化热、上扰清窍,脾肾阳虚、痰瘀阻络等四种证型,实施针对性护理措施。观察智力和生活能力。30d为1疗程,连续治疗、辨证护理1疗程(30d),使用智能状态量表(MMSE)、日常生活能力量表(ADL)评价效果。[结果]MMSE积分值提高,ADL评分下降(P<0.05)。[结论]辨证护理可使护理与治疗有机结合,更好地促进病情的稳定与恢复,有助于血管性痴呆患者智力和生活能力的提高。

[ Objective ] To observe the dialectical care of senile vascular dementia effects. [ Methods ] Implementation of the dialectical care of 50 cases of hospitalized patients with clinical treatment. General care, including daily life, catering, security, psychological, functional training, drug treatment and care ; according to the clinical characteristics of the syndrome differentiation of liver and kidney, phlegm network, deficiency of kidney essence, marrow, phlegm the heat, on the disturbing orifices, four spleen deficiency, phlegm network card type, targeted care measures. To observe the intelligence and life skills. 30d for a course of continuous treatment, the dialectical care course of treatment （30 clays ）, the use of the Mental State Examination （MMSE）, activities of daily living scale （ADL） evaluate the effect. [ Results] MMSE integral value improved the ADL score decreased （ P 〈 0.05 ）. [ Conclusion ] Dialectical nursing care and treatment of organic integra- tion, to better promote the stabilization and recovery of the disease, contribute to the improvement of patients with vascular dementia intellectual and life skills.