中医护理在保守治疗急诊高血压脑出血中的应用效果

Application Effect of Chinese Medicine Nursing in Conservative Treatment of Hypertensive Cerebral Hemorrhage in Emergency Department

目的:观察中医护理在保守治疗急诊高血压脑出血中的应用效果。方法:选择接受保守治疗的急诊高血压脑出血患者106例,按随机数字表法分为对照组和观察组各53例。2组入院后,依据医院规定流程,积极的给予保守治疗。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护理措施。比较2组临床疗效及护理满意度,检测干预前后脑内血肿体积、神经功能与生活质量评分。结果:观察组的治疗效果优于对照组(Z=1.805,P<0.05)。干预前,2组脑内血肿体积比较,差异无统计学意义(P>0.05)。干预后,2组脑内血肿体积较干预前降低(P<0.05),且观察组脑内血肿体积低于对照组(P<0.05)。干预前,2组美国国立卫生研究所脑卒中量表(NIHSS)评分及Barthel指数比较,差异无统计学意义(P>0.05)。干预后,2组NIHSS评分较干预前降低,且观察组NIHSS评分低于对照组(P<0.05);2组Barthel指数较干预前升高,且观察组Barthel指数高于对照组(P<0.05)。观察组护理满意率为83.02%,高于对照组66.04%,差异有统计学意义(P<0.05)。结论:中医护理干预保守治疗急诊高血压脑出血患者,有助于降低脑内血肿程度,改善神经功能与生活质量,提升治疗效果和护理满意度。

Objective: To observe the application effect of Chinese medicine nursing in conservative treatment of hypertensive cerebral hemorrhage in emergency department. Methods: A total of 106 cases of patients who had hypertensive cerebral hemorrhage and received conservative treatment in emergency department were selected and divided into the control group and the observation group according to the random number table method,53 cases in each group. After the admission to the hospital, the patients were given conservative treatment according to the hospital procedures. The control group was given routine nursing intervention, and the observation group was given Chinese medicine nursing measures based on the nursing of the control group. The clinical effect and nursing satisfaction were compared between the two groups. Before and after intervention,the volume of intracerebral hematoma and neurological function were detected,and the score of quality of life was evaluated. Results:The curative effect in the observation group was better than that in the control group(Z=1.805,P<0.05). Before intervention,there was no significant difference being found in the comparison of the volume of intracerebral hematoma between the two groups(P>0.05). After intervention, the volume of intracerebral hematoma in the two groups was decreased when compared with that before intervention(P<0.05),and the volume in the observation group was smaller than that in the control group(P<0.05). Before intervention, when compared scores of National Institutes of Health Stroke Scale(NIHSS) and Barthel Index between the two groups,there was no significance in the difference(P>0.05). After intervention, scores of NIHSS in the two groups were decreased when compared with those before intervention,and the score in the observation group was lower than that in the control group(P<0.05);Barthel Index in the two groups was increased when compared with that before intervention,and the index in the observation group was higher than that in the control group(P<0.05). The nursing satisfaction was 83.02% in the observation group,higher than that of 66.04% in the control group, the difference being significant(P<0.05). Conclusion: For patients who received the conservative treatment of hypertensive cerebral hemorrhage in emergency department,the intervention of Chinese medicine nursing conduces to reducing the degree of intracerebral hematoma,improving recovery of neurological function and quality of life,and enhancing curative effect and nursing satisfaction.