首页|急性期缺血性中风血瘀证患者中医护理的应用效果观察

急性期缺血性中风血瘀证患者中医护理的应用效果观察

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目的 探索活血化瘀中医护理方案对急性期缺血性中风血瘀证患者的应用效果.方法 选择2023年12月—2024年5月中国中医科学院西苑医院脑病科住院的缺血性中风血瘀证患者82例,采用随机信封法分为2组,对照组给予常规治疗及中风急性期中医护理方案,观察组在对照组的基础上,根据患者不同血瘀类型给予理气活血、补气活血、祛痰活血、温阳活血中医护理方案,干预时长为2周,对比干预前后2组中医证候分级量化表得分、美国国立卫生研究院卒中量表(NIHSS)得分、日常生活活动能力(ADL)及血瘀证得分.结果 干预结束,2组ADL得分(Z=-2.24,P=0.025)、中医证候分级量化表得分(Z=3.102,P=0.036)、NIHSS得分(Z=2.27,P=0.023)、血瘀证得分(Z=-3.309,P=0.036)比较,差异均有统计学意义.结论 活血化瘀中医护理可改善缺血性中风血瘀证患者的血瘀状况、神经功能缺损、日常生活活动能力、中医治疗结局.
Effect of traditional Chinese medicine care on patients with blood stasis syndrome in acute phase ischemic stroke
Objective To explore the application effect of traditional Chinese medicine nursing scheme for activating blood circulation and removing blood stasis on patients with ischemic stroke of blood stasis syndrome in the acute phase. Methods A total of 82 patients with ischemic stroke of blood stasis syndrome hospitalized in the Department of Encephalopathy,Xiyuan Hospital of China Academy of Chinese Medical Sciences(CACMS)from December 2023 to May 2024 were selected and divided into observation group and control group by using the random envelope method,and the control group was given the routine treatment and TCM nursing program in the acute phase of stroke,while the observation group was given TCM care according to different types of blood stasis,including regulating qi and activating blood circulation,tonifying qi and activating blood circulation,dispelling phlegm and activating blood circulation,and warming yang and activating blood circulation,with an intervention duration of 2 weeks. The scores of TCM syndrome grading quantitative scale,the scores of National Institutes of Health Stroke Scale(NIHSS),the scores of ability to perform activities of daily living (ADL),and the scores of blood stasis syndrome in both groups before and after the intervention were compared. RESULTS At the end of the intervention,there were statistically significant differences between the two groups in ADL score (Z=-2.24,P=0.025),TCM syndrome grading score (Z=3.102,P=0.036),NIHSS score (Z=2.27,P=0.023),and blood stasis syndrome score (Z=-3.309,P=0.036). CONCLUSION Chinese medicine care for activating blood circulation and removing blood stasis can improve the blood stasis condition,neurological deficits,activities of daily living ability,and the outcome of Chinese medicine treatment in patients with blood stasis syndrome of ischemic stroke.

Blood stasis syndromeblood stasis syndrome of ischemic strokeTCM nursingeffect

景静、任思萌、常鑫、刘俊霞、刘博文、关超、苗晨灿、吴燕燕、魏安其、宋丽波、赵楠、李静

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中国中医科学院西苑医院脑病科,北京 100091

中国中医科学院西苑医院心血管一科,北京 100091

中国中医科学院西苑医院护理部,北京 100091

血瘀证 缺血性中风 中医护理 效果

中国中医科学院科技创新工程项目

CI2021A03209

2024

北京中医药
北京中医药学会,北京中西医结合学会

北京中医药

CSTPCD
影响因子:0.718
ISSN:1674-1307
年,卷(期):2024.43(8)
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