老年痴呆的药物治疗及康复护理研究

Drug Treatment and Rehabilitation Nursing in Senile Dementia

目的:探讨老年痴呆患者的药物治疗及康复护理效果。方法:选取漯河市第二人民医院在2012年10月至2016年10月期间诊治的老年痴呆患者176例,均行药物治疗,采用随机数字表法分为两组,对照组患者88例实施常规护理,观察组患者88例实施康复护理,于治疗前后行精神状况、生活自理能力、肢体运动功能、生存质量评定,比较两组患者治疗效果及并发症情况。结果:治疗后,两组患者MMSE评分、ADL评分、HDS评分、Fugl Meyer评分、QOL评分增加(P<0.05)。两组患者NIHSS评分降低(P<0.05)。观察组患者MMSE评分、ADL评分、HDS评分、Fugl Meyer评分、QOL评分、治疗总有效率高于对照组(P<0.05)。观察组患者NIHSS评分、并发症发生率低于对照组(P<0.05)。结论:老年痴呆患者的药物治疗效果显著,康复护理可提高患者的认知功能、肢体运动功能,具有较高安全性,值得临床推广使用。

Objective： To investigate drug treatment and rehabilitation nursing effect in elderly patients with dementia. Methods： 176 elderly patients with dementia received drug treatment in hospital from October 2012 to October 2016 were divided into two groups by random number table method.88 patients received routine nursing as control group. 88 patients received rehabilitation nursing as observation group. Mental status, self-care ability,limb motor function, quality of life evaluated before and after treatment. Treatment effect and complications were compared between two groups.Results： After treatment, MMSE score, ADL score, HDS score, Fugl Meyer score, QOL score increased in two groups（P 0.05）. NIHSS score decreased in two groups（P0.05）. MMSE score, ADL score, HDS score, Fugl Meyer score, QOL score, total effective rate in observation group were higher than control group（P0.05）. NIHSS score, complication rate in observation group were lower than control group（P0.05）. Conclusion： Drug treatment has significant effect in elderly patients with dementia. Rehabilitation nursing can improve cognitive function and limb movement function,which also has high safety and worth of clinical use.