护理干预在中医药改善中风偏瘫患者功能恢复中的临床价值

The Clinical Value of Nursing Intervention Combined with Traditional Chinese Medicine in Improving the Functional Recovery of Stroke Patients with Hemiplegia

目的观察和探讨护理干预联合中医方法在改善中风偏瘫患者功能恢复中的临床价值。方法选择2017年1月—2019年12月收治的100例中风偏瘫患者作为研究对象,按照随机数字表法随机分为观察组和对照组2组,每组50例患者。对照组患者采用常规的护理干预,观察组患者在对照组基础上联用中医药方法,观察对比2组患者的Fugl-Meyer、Barthel指数评分、SAS、SDS、NIHSS评分和不良反应等功能指标。结果护理前,2组患者的Fugl-Meyer和Barthel指数评分比较,差异无统计学意义(P>0.05);护理后,观察组患者的Fugl-Meyer和Barthel指数评分均显著高于对照组患者,差异具有统计学意义(P<0.05)。护理前2组患者的SAS、SDS评分相比,差异无统计学意义(P>0.05);护理后观察组SAS、SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。护理前2组患者的NIHSS评分相比,差异无统计学意义(P>0.05);护理后观察组NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的不良反应发生率显著低于对照组患者,差异具有统计学意义(P<0.05)。结论护理干预联合中医药方法在改善中风偏瘫患者功能恢复中的临床疗效确切,可以显著恢复肢体功能,改善患者的生活能力,值得临床推广应用。

Objective To observe and explore the clinical value of nursing intervention combined with traditional Chinese medicine in improving the functional recovery of stroke hemiplegia patients.Methods We selected 100 cases of apoplectic hemiplegia patients who were admitted to our hospital from January 2017 to December 2019 as the research objects.According to the method of random number table,they were randomly divided into two groups:the observation group and the control group,with 50 patients in each group.The patients in the control group were treated with routine nursing intervention.The patients in the observation group were treated with traditional Chinese medicine on the basis of the control group.The Fugl-Meyer,Barthel index score,SAS,SDS,NIHSS score and adverse reactions were compared between the two groups.Results There was no significant difference between the two groups before nursing(P>0.05).After nursing,the scores of Fugl-Meyer and Barthel index in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in SAS and SDS scores between the two groups before nursing(P>0.05).After nursing,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference between the two groups before nursing(P>0.05).The difference between the two groups after nursing was statistically significant(P<0.05).The adverse reactions in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The clinical effect of nursing intervention combined with traditional Chinese medicine in improving the functional recovery of stroke patients with hemiplegia is accurate.It can significantly restore the limb function and improve the living ability of patients.It is worthy of clinical application.