中医辨证施护在中风后遗症患者中的应用效果

Discussion on the Application Effect of Traditional Chinese Medicine Nursing In Patients with Sequelae of Apoplexy Based on Syndrome Differentiation

目的探究中医辨证施护在中风后遗症患者中的应用效果。方法选取收治的80例中风后遗症患者作为观察对象,随机将其分为对照组与观察组各40例,对照组患者予以常规护理干预,观察组患者予以中医辨证施护,对比2组患者的Barthel指数、生活质量(GQOL-74)评分。结果对照组护理30 d后、60 d后的Barthel指数分别为(46. 45±2. 33)、(65. 94±2. 85),GQOL-74量表中的心理功能、躯体功能及社会功能、物质生活评分分别为(73. 65±2. 36)分、(76. 62±2. 54)分、(61. 98±2. 46)分、(83. 69±2. 36)分;观察组护理30 d后、60 d后Barthel指数分别为(59. 36±2. 64)、(78. 89±2. 46),GQOL-74量表中的心理功能、躯体功能及社会功能、物质生活评分分别为(87. 51±3. 10)分、(85. 43±2. 43)分、(73. 14±2. 54)分、(84. 17±2. 84)分;护理30 d、60 d后,观察组的Barthel指数均明显高于对照组(P <0. 05),观察组患者GQOL-74评分中的心理功能、躯体功能及社会功能评分均显著高于对照组(P <0. 05)。结论中医辨证施护可显著提升中风后遗症患者的生活自理能力,进而改善其生活质量,因此具备临床推广价值。

Objective To explore the effect of TCM syndrome differentiation nursing in apoplexy sequelae patients.Methods 80 cases of apoplexy sequelae treated in our hospital were randomly divided into control group(n=40)and observation group(n=40).The patients in control group were given routine nursing intervention,and the patients in observation group were treated with TCM syndrome differentiation nursing.Barthel index and quality of life(GQOL-74)scores were compared between the two groups.Results The Barthel index of group A was(46.45±2.33),(65.94±2.85)and GQOL-7 after 30 days and 60 days respectively.The scores of psychological function,physical function and social function in the scale were(73.65±2.36),(76.62±2.54),(61.98±2.46),(83.69±2.36).The Barthel index of group B was(59.36±2.64),(78.89±2.46)after 30 days of nursing and 60 days after nursing.The scores of psychological function,physical function and social function in GQOL-74 scale were(87.51±3.10),and the scores of physical life were(87.51±3.10)in group B after 60 days of nursing.(85.43±2.43),(73.14±2.54)and(84.17±2.84),After 30 days of nursing care,the Barthel index in group B was significantly higher than that in group A(P<0.05).The scores of psychological function,physical function and social function in group B were significantly higher than those in group A(P<0.05).Conclusion TCM nursing based on syndrome differentiation can significantly improve the self-care ability of patients with apoplectic sequelae,and then improve their quality of life,so it has the value of clinical promotion.