辨证特色护理中风随机平行对照研究

Syndrome Differentiation Characteristics of Nursing Care of Stroke were Randomized Parallel Controlled Study

[目的]观察辨证特色护理法护理中风病疗效。[方法]使用随机平行对照方法,将209例住院患者按随机数字表法分为两组。对照组103例常规护理。护理组106例辨证特色护理:根据不同中医体质、辨证类型指导其心理、饮食和选用针灸、火罐、刮痧、艾灸、中药泡洗等不同中医适宜技术方案。两组均连续护理14d为1疗程。观测临床症状、神经功能评分、临床指标、不良反应。护理1疗程,判定疗效。[结果]护理组基本恢复27例,显著进步39例,进步34例,无变化6例,总有效率94.34%。对照组基本恢复22例,显著进步34例,进步31例,无变化16例,总有效率84.47%。护理组疗效优于对照组(P<0.05)。神经功能评分护理组改善优于对照组(P<0.05)。临床指标(住院天数、生活满意度、医护满意度)护理组改善优于对照组(P<0.05)。[结论]辨证特色护理法护理中风病效果显著,值得推广。

[Objective]To observe the differentiation characteristics of nursing care of stroke outcome. [Methods]Using randomized controlled methods, will be divided into two groups according to the random number table, 209 cases of hospitalized patients. Routine nursing group in 103 cases. 106 patients of dialectical nursing characteristics: according to the different constitution of traditional Chinese medicine, syndrome differentiation type guide their psychological, diet and selection of acupuncture, cupping, scraping, moxibustion, traditional Chinese medicine soaking of different TCM appropriate technology scheme. The two groups were continuous nursing care of 14d for 1 courses. Observation of clinical symptoms, neurological function score, clinical index, adverse reaction. Nursing care of 1 period of treatment, curative effect. [Results] Nursing group recovered in 27 cases, 39 cases of significant progress, progress in 34 cases, no change in 6 cases, the total efficiency of 94.34%. The control group recovered in 22 cases, 34 cases of significant progress, progress in 31 cases, no change in 16 cases, the total efficiency of 84.47%. Nursing group was better than control group(P< 0.05). Nerve function grading nursing group was better than the control group(P< 0.05). Clinical parameters(length of hospital stay, life satisfaction, satisfaction with nursing care) group was better than the control group(P< 0.05). [Conclusion]The dialectical characteristics of nursing care of stroke effect is significant, worthy of promotion.