聚焦解决模式在阿尔茨海默病合并脑血栓患者的应用效果

Application effect of focused resolution model in patients with Alzheimer′s disease complicated with cerebral thrombosis

目的探讨聚焦解决模式在阿尔茨海默病合并脑血栓患者的应用效果。方法分析大连市中心医院2015年1月~2018年1月收治的200例阿尔茨海默病合并脑血栓患者的临床资料,依据干预措施不同进行分组,对照组(常规康复护理)100例和聚焦解决模式组(聚焦解决模式)100例。观察两组患者干预前后美国国立卫生研究院的脑卒中量表(NIHSS)评分、家庭功能评分、认知功能、语言功能和运动功能评分,以及临床疗效。结果两组干预前NIHSS评分、家庭功能评分、认知功能、语言功能和运动功能评分比较,差异无统计学意义(P > 0.05)。干预后,两组患者NIHSS评分高于干预前,家庭功能评分低于干预前,认知功能、语言功能和运动功能评分均高于干预前;聚焦解决模式组干预后NIHSS评分高于对照组,家庭功能评分低于对照组,认知功能、语言功能和运动功能评分均高于对照组,差异有统计学意义(P < 0.05)。聚焦解决模式组患者临床治疗总有效率高于对照组,差异有统计学意义(P < 0.05)。结论聚焦解决模式在阿尔茨海默病合并脑血栓患者中应用,可以降低神经功能损伤,提高认知功能和运动功能,值得临床推广应用。

Objective To explore the application effect of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis. Methods Clinical data of 200 patients with Alzheimer's disease complicated with cerebral thrombosis admitted to Dalian Central Hospital from January 2015 to January 2018 were analyzed. According to different interventions, they were divided into control group (100 cases and routine rehabilitation nursing) focusing on solving model group (focusing on solving mode) 100 cases. Before and after the intervention, the National Institutes of health stroke scale (NIHSS) score, family function score function and motor function, cognitive function, language score, and clinical efficacy of two goups were observed. Results There was no significant difference in NIHSS score, family function score, cognitive function, language function and motor function score between the two groups before intervention (P > 0.05). After intervention, the NIHSS scores of two groups were higher than before the intervention, family function score was lower than before intervention, the cognitive function, the language function and motor function scores were higher than before the intervention;NIHSS scores of the focused solution model group was higher than that of the control group, and the family function score was lower than that of the control group, cognitive function, language function and motor function scoreswere higher than those of the control group, and the difference was statistically significant (P < 0.05).The total clinical response rate of patients of the focused resolution model group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion The application of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis can reduce neurological damage and improve cognitive and motor functions, which is worthy of clinical application.