中医辨证施护干预在中风急性期中的应用

Application of Nursing Based on Syndrome Differentiation Intervention for Stroke in Acute Stage

目的:观察中医辨证施护干预在中风急性期中的应用价值。方法:选取中风急性期患者100例,按随机数字表法分为对照组和观察组各50例。在常规治疗的基础上,对照组给予常规护理干预,观察组在对照组基础上给予中医辨证施护干预。比较2组临床效果、中医证候积分、神经功能缺损(NIHSS)评分、运动功能(FAM)评分及日常生活能力(ADL)评分的变化。结果:观察组总有效率为90.00%,高于对照组的70.00%,差异有统计学意义(P<0.05)。干预前,2组中医证候积分、NIHSS评分比较,差异均无统计学意义(P>0.05)。干预后,2组中医证候积分、NIHSS评分较治疗前降低,且观察组中医证候积分、NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。干预前,2组FMA、ADL评分比较,差异无统计学意义(P>0.05)。干预后,2组FMA、ADL评分较干预前升高,且观察组FMA、ADL评分高于对照组(P<0.05)。结论:中医辨证施护干预能够提高中风急性期患者的临床效果和日常生活能力,改善神经功能和运动功能。

Objective:To observe the application value of nursing based on syndrome differentiation for stroke in acute stage.Methods:A total of 100 cases of patients with stroke in acute stage were selected and divided into the control group and the observation group according to the random number table method,50 cases in each group.Both groups received conventional therapy,the control group was given routine nursing intervention,and the observation group was additionally given nursing based on syndrome differentiation.The changes of the clinical effect,Chinese medicine syndrome scores as well as the scores of National Institute of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA)and Activity of Daily Living(ADL)in the two groups were compared.Results:The total effective rate was 90.00%in the observation group,higher than that of 70.00%in the control group,the difference being significant(P<0.05).Before intervention,there was no significant difference being found in the comparison of Chinese medicine syndrome scores and NIHSS scores between the two groups(P>0.05).After intervention,Chinese medicine syndrome scores and NIHSS scores in the two groups were decreased when compared with those before intervention,and the above scores in the observation group were lower than those in the control group,differences being significant(P<0.05).Before intervention,there was no significant difference being found in the comparison of the scores of FMA and ADL between the two groups(P>0.05).After intervention,the scores of FMA and ADL in the two groups were increased when compared with those before intervention,and the above scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The theory of nursing based on syndrome differentiation can enhance the clinical effect and ADL of patients with stroke in acute stage,and improve the nerve function as well as the motor function.