中西医结合护理干预对脑卒中便秘患者的影响

Effect of intervention of integrated traditional Chinese and western medicine nursing on stroke patients with constipation

目的探究中西医结合护理干预对于脑卒中便秘患者的影响。方法选取2017年8月至2019年12月我院接受治疗的140例脑卒中便秘患者,研究为前瞻性研究,将患者通过随机数字表法随机分为对照组和干预组,每组各70例。对照组患者在常规治疗的基础上加以常规护理干预治疗;干预组患者在对照组基础上加以中西医结合护理干预治疗。分别对两组患者进行为期21 d的连续护理及治疗,观察治疗前后两组患者改良Rankin量表(MRS)评分、排便量表评分、症状积分及临床疗效。结果干预前,两组患者MRS评分比较,差异无统计学意义(P>0.05);干预后,两组患者MRS评分低于干预前,且干预组MRS评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者排便量表评分比较,差异无统计学意义(P>0.05);干预后,两组患者排便量表评分均低于干预前,且干预组排便量表评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者首次排便时间、排便间隔时间、排便时间、排便形状、用力难度、便意的症状积分比较,差异无统计学意(P>0.05);干预后,两组患者各项症状积分均低于本组干预前,且干预组各项症状积分低于对照组,差异有统计学意义(P<0.05)。干预组总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论中西医联合护理干预治疗能够有效改善脑卒中便秘患者的临床症状,对于治疗脑卒中便秘具有良好的临床疗效。

Objective To explore the effect of intervention of integrated traditional Chinese and Western medicine nursing on stroke patients with constipation. Methods A total of 140 stroke patients with constipation treated in our hospital from August 2017 to December 2019 were selected. The study was a prospective study. The patients were randomly divided into a control group of 70 cases and an intervention group of 70 cases through a random number table. Patients in the control group were treated with conventional nursing intervention on the basis of conventional treatment;patients in the intervention group were treated with intervention of integrated traditional Chinese and Western medicine nursing on the basis of the control group. The two groups of patients were given continuous nursing and treatment for 21 days, and the score of Modified Rankin Scale(MRS), defecation scale score, symptom score and clinical efficacy of the two groups were observed before and after treatment. Results Before the intervention, there was no statistically significant difference in MRS scores between the two groups(P > 0.05). After the intervention, the MRS scores of the two groups were lower than those before the intervention, and the MRS scores of the intervention group were lower than those of the control group, the differences were statistically significant(P < 0.05). Before the intervention, there was no statistically significant difference in defecation scale scores between the two groups(P > 0.05). After the intervention, the defecation scale scores of the two groups were lower than those before the intervention, and the defecation scale scores of the intervention group were lower than those of the control group, the differences were statistically significant(P < 0.05). Before the intervention, there was no statistically significant difference in the symptom scores between the two groups of patients in the first defecation time, defecation interval, defecation time, defecation shape, difficulty of defecation, and intention to defecate(P > 0.05). After the intervention, the symptom scores of the two groups were lower than those before the intervention, and the scores of symptoms in the intervention group were lower than those in the control group, the differences were statistically significant(P < 0.05). The clinical efficacy of the intervention group was significantly higher than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion The intervention treatment of integrated Chinese and western medicine nursing can effectively improve the clinical symptoms of stroke patients with constipation, and has good clinical efficacy on the treatment of post-stroke constipation.