中医综合康复护理对脑梗死合并高脂血症患者血脂水平、肢体功能及日常生活活动能力的影响

Effect of Comprehensive Rehabilitation Nursing of Chinese Medicine on Blood Lipid Levels, Limb Function and Activity of Daily Living in Patients with Cerebral Infarction Complicated with Hyperlipidemia

目的:观察中医综合康复护理对脑梗死合并高脂血症患者血脂水平、肢体功能及日常生活活动能力的影响。方法:将80例脑梗死合并高脂血症患者按随机数字表法分为对照组和观察组各40例。对照组给予常规护理干预,观察组在对照组的基础上施行中医综合康复护理。比较2组治疗前后血脂水平、肢体功能及日常生活活动能力差异。结果:护理前,2组血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平比较,差异无统计学意义(P>0.05)。护理后,2组HDL-C水平均较治疗前升高(P<0.05),TC、TG、LDL-C水平均较治疗前降低(P<0.05),且观察组上述各项指标改善较对照组更显著(P<0.05)。护理前,2组Fugl-Meyer运动功能评定量表(FMA)、改良巴氏指数评定表(MBI)评分比较,差异无统计学意义(P>0.05);护理后,观察组FMA、MBI评分均较治疗前升高(P<0.05),且观察组FMA、MBI评分高于对照组(P<0.05)。结论:中医综合康复护理干预脑梗死合并高脂血症,能改善患者血脂水平,恢复肢体功能,提高其日常生活活动能力,疗效优于常规护理。

Objective:To observe the effect of comprehensive rehabilitation nursing of Chinese medicine on blood lipid levels,limb function and activity of daily livin in patients with cerebral infarction complicated with hyperlipidemia. Methods:A total of 80 cases of patients with cerebral infarction complicated with hyperlipidemia were divided into the control group and the observation group according to the random number table method,40 cases in each group. The control group was given routine nursing intervention, and the observation group was additionally given comprehensive rehabilitation nursing of Chinese medicine based on the treatment of the control group. The differences of blood lipid levels,limb function and activity of daily living before and after treatment in the two groups were compared. Results:Before nurse,there was no significant difference being found in the comparison of the levels of total cholesterol(TC),triglyceride(TG),high-density lipoproteincholesterol(HDL-C) and low-density lipoprotein-cholesterol(LDL-C) in serum between the two groups(P>0.05). After nurse,the levels of HDL-C in the two groups were increased when compared with those before treatment(P<0.05),and the levels of TC,TG and LDL-C were decreased(P<0.05);the improvement of above indexes in the observation group was more significant than that in the control group(P<0.05). Before nurse,there was no significant difference being found in the comparison of the scores of Fugl-Meyer Assessment of Motor Function(FMA) and Modified Barthel Index(MBI) between the two groups(P>0.05). After nurse,the scores of FMA and MBI in the observation group were increased when compared with those before treatment(P<0.05),and the scores of FMA and MBI in the observation group were higher than those in the control group(P<0.05). Conclusion:The intervention of comprehensive rehabilitation nursing of Chinese medicine for patients with cerebral infarction complicated with hyperlipidemia can improve blood lipid levels, restore limb function and enhance their activity of daily living,whose curative effect is better than that of routine nursing.