中医辨证护理结合思维导图对急性脑梗死伴吞咽障碍患者康复效果的影响

Effects of TCM Syndrome Differentiation and Nursing Combined with Mind Map on Rehabilitation of Patients with Acute Cerebral Infarction and Dysphagia

目的:观察中医辨证护理结合思维导图对急性脑梗死伴吞咽障碍患者康复效果的影响。方法:将60例急性脑梗死伴吞咽障碍患者随机分为A组(常规护理)和B组(常规护理加中医辨证护理及思维导图干预)各30例,干预1个月后比较两组患者美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)、Barthel指数及并发症发生情况。结果:B组患者干预后NIHSS评分低于干预前及A组干预后(P<0.05),B组Barthel指数优于干预前及A组干预后(P<0.05);B组误吸及吸入性肺炎发生率低于A组(P<0.05)。结论:中医辨证护理结合思维导图干预有助于改善急性脑梗死伴吞咽障碍患者的神经功能,提高患者生活运动能力,降低相关并发症发生率。

Objective:To observe the influence of TCM syndrome differentiation and nursing combined with mind map on rehabilitation of patients with acute cerebral infarction and dysphagia.Methods:Sixty patients were randomized into A group(conventional care group)and B group(conventional care plus TCM syndrome differentiation and nursing,and mind map)with 30 cases in each group,to compare NIHSS,Barthel index and the incidence of the complications in the two groups after one month of the intervention.Results:After the intervention,NIHSS scores were lower in B group than pre-intervention and A group after the intervention(P<0.05),Barthel index of B group was better than that before the intervention and that of A group after the intervention(P<0.05);the incidences of inhalation and aspiration pneumonia of B group were lower than these of A group(P<0.05).Conclusion:TCM syndrome differentiation and nursing combined with mind map could help improve neurological function of patients with acute cerebral infarction complicated with dysphagia,raise their living and motor ability,and reduce the incidence of the related complication.