中西医结合卒中单元对卒中后疲劳的干预研究

发布时间：2018-03-09 23:11

本文选题：中西医结合　切入点：卒中单元　出处：《辽宁中医杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:旨在探讨中西医结合卒中单元干预卒中后疲劳的临床效果。方法:选取2015年11月—2017年4月本院收治的脑卒中患者164例。根据患者入院治疗时间顺序交替将患者分为观察组及对照组。对照组患者采用纯西医卒中单元治疗模式干预,观察组患者采用中西医结合卒中单元进行干预。比较两组患者治疗满意度,并分别采用疲劳评定量表(FAI)、Barthel指数(BI)评价两组患者治疗前后疲劳程度及日常生活能力变化情况。结果:观察组治疗满意度明显高于对照组(95.12%vs 80.48%)(χ2=4.100,P=0.043);两组患者干预后FSS评分明显低于干预前(P0.05);观察组FSS评分下降幅度明显大于对照组(P0.05);两组患者干预后PSQI及Barthel指数较干预前出现明显变化,PSQI指数呈现下降趋势,Barthel指数呈现上升趋势,其中观察组指数变化幅度显著大于对照组(P0.05)。结论:中西医结合卒中单元治疗卒中后疲劳可有效降低患者疲劳程度并提高日常生活能力,患者满意度高,值得临床运用推广。
[Abstract]:Objective: to investigate the clinical effect of stroke unit combined with traditional Chinese and western medicine on post-stroke fatigue. Methods: 164 stroke patients treated in our hospital from November 2015 to April 2017 were selected. The patients were divided into observation group and control group. The patients in the observation group were treated with stroke unit combined with traditional Chinese and western medicine. The treatment satisfaction was compared between the two groups. The fatigue degree and activity of daily living (ADL) before and after treatment were evaluated by FAI Barthel Index (BI). Results: the treatment satisfaction in the observation group was significantly higher than that in the control group (蠂 2, 4.100, P < 0.043). The FSS of the two groups after intervention was significantly higher than that in the control group (蠂 ~ 2 = 95.12 vs 80.48). The scores of FSS in the observation group were significantly lower than those in the control group (P 0.05), the PSQI and Barthel index in the two groups were significantly different from those before the intervention, and the FSS index in the observation group showed an increasing trend. The index of the observation group was significantly higher than that of the control group (P 0.05). Conclusion: the treatment of post-stroke fatigue with integrated Chinese and western medicine can effectively reduce the fatigue degree of the patients and improve their daily life ability, and the patient satisfaction is high, which is worthy of clinical application and popularization.
【作者单位】：南京中医药大学连云港附属医院脑病科;
【基金】：连云港市科技计划项目(SH1539)
【分类号】：R743.3

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