活血化痰行气法联合早期康复护理治疗急性脑梗死临床观察

Clinical Observation on Promoting Blood Circulation and Removing Phlegm for Activating Qi-flowing Method Combined with Early Rehabilitation Nursing on Acute Cerebral Infarction

目的探讨活血化痰行气法联合早期康复护理治疗急性脑梗死的疗效。方法72例急性脑梗死患者随机分为对照组、观察组,各36例。所有患者进行常规治疗及活血化瘀行气中药治疗,对照组进行常规康复护理,观察组在对照组基础上进行早期康复护理。干预1个月后比较神经功能缺损(NHISS)量表、失语指数(AQ)、Fugl-Meyer运动功能(FM)量表、汉密尔顿焦虑(HAMA)量表,汉密尔顿抑郁(HAMD)量表。结果干预后2组NHISS明显低于本组干预前,AQ、FM明显高于本组干预前,且观察组NHISS明显低于对照组,观察组AQ、FM明显高于对照组,差异有统计学意义(P<0.05)。干预后2组HAMA、HAMD明显低于本组干预前,且观察组HAMA、HAMD明显低于对照组,差异有统计学意义(P<0.05)。结论活血化痰行气法联合早期康复护理有效改善了急性脑梗死患者不良情绪,促进了神经功能恢复和肢体康复。

Objective To explore the curative effect of promoting blood circulation and removing phlegm for activating qi-flowing method combined with early rehabilitation nursing in the treatment of acute cerebral infarction.Methods 72 patients with acute cerebral infarction were randomly divided into the control group and the observation group,with 36 patients in each group.All patients received routine treatment and TCM treatment of promoting blood circulation and removing blood stasis.The control group received routine rehabilitation nursing,and the observation group received early rehabilitation nursing on the basis of the control group.The NHISS scale,AQ,fugl-meyer motor function(FM)scale,Hamilton anxiety(HAMA)scale and Hamilton depression(HAMD)scale were compared 1 month after intervention.Results After intervention,NHISS in the two groups was significantly lower than that before intervention,AQ and FM were significantly higher than that before intervention,NHISS in the observation group was significantly lower than that in the control group,and AQ and FM in the observation group were significantly higher than that in the control group,and there had statistically significant differences(P<0.05).HAMA and HAMD in the two groups after intervention were significantly lower than those before intervention,and HAMA and HAMD in the observation group were significantly lower than those in the control group,and there had statistically significant differences(P<0.05).Conclusion The promoting blood circulation and removing phlegm for activating qi-flowing method combined with early rehabilitation nursing can effectively improve the bad mood of patients with acute cerebral infarction and promote the recovery of nerve function and limb rehabilitation.