中医临床护理路径对高血压性脑出血急性期神经功能恢复的影响

Effect of Clinical Nursing Pathway of Chinese Medicine on Recovery of Neurological Function in Patients with Hypertensive Intracerebral Hemorrhage at Acute Stage

目的:观察中医临床护理路径对高血压性脑出血(HICH)急性期患者神经功能恢复的影响。方法:将104例HICH急性期患者随机分成观察组和对照组各52例。2组均给予强化降压,血糖管理,脱水、止血、抗凝、神经保护剂等综合治疗措施,并给予饮食护理、心理护理等综合护理措施。观察组加予中医临床护理路径。2组疗程均为21 d。治疗前后评定加拿大神经功能量表(CNS)评分和日常生活活动能力(ADL)评分,出院时患者自行评价护理满意度。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组CNS评分均较治疗前下降(P<0.01),ADL评分均较治疗前升高(P<0.01)。观察组CNS评分低于对照组(P<0.05),ADL评分高于对照组(P<0.05)。观察组护理满意度高于对照组(P<0.05)。结论:在常规现代医学治疗和护理措施的基础上给予中医临床路径护理措施干预HICH急性期患者,可有效减轻神经功能缺损,提高日常生活能力,提高患者对护理工作的满意度,临床疗效确切。

Objective:To observe the effect of clinical nursing pathway of Chinese medicine on recovery of neurological function in patients with hypertensive intracerebral hemorrhage(HICH) at acute stage. Methods:A total of 104 cases of HICH patients at acute stage were randomly divided into the observation group and the control group,52 cases in each group. Both groups were given comprehensive treatment measures, namely intensive blood pressure reduction, control on blood glucose,dehydration,hemostasis,anticoagulation,and neuroprotective agents;diet nursing,psychological nursing and other comprehensive nursing measures were carried out. The observation group was additionally given clinical nursing pathway of Chinese medicine. Both groups were treated for 21 days. The scores of Canadian Neurological Scale(CNS),and Activity of Daily Living(ADL) were evaluated before and after treatment. The nursing satisfaction was evaluated by patients themselves at discharge. The clinical effect in the two groups was compared. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The CNS scores in the two groups were decreased when compared with those before treatment(P<0.01),and the ADL scores were increased(P<0.01). When compared with those in the control group,the CNS score in the observation group was lower(P<0.05),and ADL score was higher(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:Based on routine modern medical treatment and nursing measures,the intervention of clinical nursing pathway of Chinese medicine on HICH patients at acute stage can effectively reduce neurological impairment,enhance activities of daily living,and improve nursing satisfaction with definite clinical effect.