老年脑梗死患者的药物治疗与康复护理研究

Study on drug therapy and rehabilitation nursing of elderly patients with cerebral infarction

目的探讨老年脑梗死患者的药物治疗与康复护理方法 ,并观察疗效。方法 70例老年脑梗死患者,按照治疗与护理方案不同分为Ⅰ组(30例)与Ⅱ组(40例)。Ⅰ组给予常规降血脂、抗感染治疗与常规护理,Ⅱ组在Ⅰ组基础上加用瑞舒伐他汀钙治疗与康复护理。比较两组的临床效果及干预前后的血脂水平。结果Ⅱ组总有效率95.0%(38/40)高于Ⅰ组的73.3%(22/30),差异具有统计学意义(P<0.05)。干预前,两组患者总胆固醇(TC)、三酰甘油(TG)、低密度胆固醇(LDL-C)、高密度胆固醇(HDL-C)水平比较差异无统计学意义(P>0.05);干预后3个月,两组患者TC、TG、LDL-C水平均较干预前降低,HDL-C水平较干预前升高,差异均有统计学意义(P<0.05)。干预后Ⅱ组TG、TC、LDL-C、HDL-C水平分别为(2.8±1.2)、(4.7±1.3)、(2.6±0.5)、(1.9±0.4)mmol/L,均优于Ⅰ组的(4.2±1.5)、(5.8±1.6)、(2.8±0.1)、(1.7±0.2)mmol/L,差异均有统计学意义(P<0.05)。结论老年脑梗死患者在接受他汀类药物对症治疗基础上,予以康复护理干预,能优化疗效,改善预后与生存质量,值得临床推广。

Objective To discuss the drug therapy and rehabilitation nursing of elderly patients with cerebral infarction, and observe its efficacy. Methods A total of 70 elderly patients with cerebral infarction were divided into Ⅰ group(30 cases) and Ⅱ group(40 cases) by different treatment and nursing regimens. Ⅰ group received aspirin therapy and routine nursing, and Ⅱ group received rosuvastatin calcium and rehabilitation nursing. The clinical effect and blood lipid level before and after intervention was compared between the two groups. Results The total effective rate 95.0%(38/40) in Ⅱ group was higher than 73.3%(22/30) in Ⅰ group, and the difference was statistically significant(P<0.05). Before intervention, there was no statistically significant difference in total cholesterol(TC), triacylglycerol(TG), low density lipoprotein cholesterol(LDL-C) and high density cholesterol(HDL-C) levels between the two groups(P>0.05). After 3 months of intervention, the levels of TC, TG and LDL-C in the two groups was lower than those before intervention, and HDL-C level was higher than those before intervention. Their difference was statistically significant(P<0.05). After intervention, the levels of TG, TC, LDL-C and HDL-C were(2.8±1.2),(4.7±1.3),(2.6±0.5) and(1.9±0.4) mmol/L respectively in Ⅱ group, which was better than(4.2±1.5),(5.8±1.6),(2.8±0.1),(1.7±0.2) mmol/L in Ⅰ group, and their difference was statistically significant(P<0.05).On the basis of symptomatic treatment of stains, rehabilitation nursing intervenion can optimize the curative effect, improve the prognosis and quality of life of elderly patients with cerebral infarction, and is worthy of clinical promotion.