临床心理干预与依达拉奉治疗急性脑梗死的疗效观察

Clinical observation of clinical psychological intervention and edaravone in the treatment of acute cerebral infarction

目的探究临床心理干预与依达拉奉治疗急性脑梗死的疗效。方法选择2016年1月～2016年12月在本院进行急性脑梗死治疗的患者335例，并且随机分为2组，分别是对照组和观察组，对照组168例，观察组167例。对照组患者采用常规的内科治疗手段进行治疗，观察组患者则需要在常规的内科治疗方式的基础上，增加使用依达拉奉进行静脉滴注，对2组患者均采用临床心理干预的护理方式进行护理工作。通过随访的方式，来对2组患者的治疗效果进行观察比较，需要借助于日常生活能力（ADL）及中国卒中量表（CSS）两项评定指标来对患者的治疗效果进行测评。结果治疗前，2组患者的日常生活能力（ADL）及中国卒中量表（CSS）两项评定指标评分对比差异无统计学意义。治疗后，观察组患者的日常生活能力（ADL）及中国卒中量表（CSS）两项评定指标评分均明显优于对照组，2组差异具有统计学意义（P＜0.05）。观察组治疗总有效率为94.61%，对照组治疗总有效率为72.02%，观察组的治疗效果明显优于对照组（P＜0.05）。结论对急性脑梗死的患者在采用常规的内科治疗方式的基础上，增加使用依达拉奉进行静脉滴注，相比于常规的内科治疗方式效果更好，同时在治疗后对患者采用临床心理干预的护理方式进行护理工作，对治疗效果的提升具有积极作用，有助于提高患者的日常生活能力。

Objective To explore the clinical psychological intervention and edaravone in the treatment of acute cerebral infarction.MethodsIn the period from January2016to December2016,335patients were treated with acute cerebral infarction in our hospital,and these patients wererandomly divided into two groups:control group and observation group,control group A total of168cases,the observation group of patients a totalof167cases.First,the control group of patients using conventional medical treatment for treatment,the observation group of patients will needin the conventional medical treatment based on the increase in the use of edaravone intravenous infusion.And then the two groups of patients areusing clinical psychological intervention care for nursing work.Through the follow-up approach,the two groups of patients to observe the effectof treatment,comparison,need to rely on daily living ability(ADL)and the Chinese Stroke Scale(CSS)two assessment indicators to evaluate thepatient’s treatment.Results Before treatment,the daily living ability(ADL)and the Chinese stroke scale(CSS)two evaluation indicators score,thedifference was not statistically significant;After treatment,the observation group of patients with daily living ability(ADL)and the Chinese strokescale(CSS)two evaluation indicators were significantly better than the corresponding value of the control group,the difference between the twogroups statistically significant(P<0.05).The total effective rate was94.61%in the observation group,the total treatment effective rate was72.02%of control group,the therapeutic effect of the observation group was better than that of the control group(P<0.05).Conclusion Patients with acutecerebral infarction on the basis of the use of conventional medical treatment on the basis of increased use of edaravone intravenous infusion,comparedto conventional medical treatment is better,while after treatment for patients with clinical psychological intervention Care for the nursing work,theimprovement of the treatment effect has a positive effect,help to improve the patient’s daily life ability.