广州市社区脑卒中中西医结合规范化管理效果的研究
发布时间：2019-08-08 06:27
【摘要】：目的探讨社区中西医结合规范化管理对脑卒中患者运动功能和生存质量的效果。方法选择广州市6个社区卫生服务机构中388例脑卒中患者作为研究对象,随机分为实验组(n=194例)和对照组(n=194例)。实验组在西医常规治疗基础上,接受中西医结合治疗。对照组仅接受西医常规治疗。采用功能综合评定量表(FCA)和生存质量测定简表(QOL)分别在入选时、管理3个月后和管理6个月后进行问卷调查。结果两组共失访8人,失访率为2.1%。入组时,实验组与对照组相比,一般临床特征、FCA评分、QOL评分差异无统计学意义,而中西医结合规范化管理3个月后和管理6个月后,两组FCA、QOL评分差异均有统计学意义(P0.05)。组内比较显示,实验组管理3个月后相比入选时差异有统计学意义(P0.05),管理6个月后与管理3个月后相比差异有统计学意义(P0.05)。结论社区中西医结合规范化管理对脑卒中患者运动功能和生存质量提高作用显著。
[Abstract]:Objective to explore the effect of standardized management of integrated traditional Chinese and western medicine on motor function and quality of life in stroke patients. Methods 388 stroke patients from 6 community health service institutions in Guangzhou were randomly divided into experimental group (n = 194) and control group (n = 194). The experimental group was treated with integrated traditional Chinese and western medicine on the basis of routine treatment of western medicine. The control group only received routine treatment of western medicine. The questionnaire survey was carried out after 3 months of management and 6 months of management by using functional comprehensive rating scale (FCA) and quality of life (QOL) summary table (QOL). Results A total of 8 people in the two groups were lost, the loss rate was 2.1%. Compared with the control group, there was no significant difference in general clinical features, FCA score and QOL score between the experimental group and the control group, but there was significant difference in FCA,QOL score between the two groups after 3 months of standardized management of integrated traditional Chinese and western medicine and 6 months of management (P 0.05). The comparison in the group showed that there was significant difference in the experimental group after 3 months of management (P 0.05), and there was significant difference between the 6 months in the management group and the 3 months in the management group (P 0.05). Conclusion the standardized management of integrated traditional Chinese and western medicine has a significant effect on the improvement of motor function and quality of life in stroke patients.
【作者单位】： 广州医学院公共卫生与全科医学学院;广东省中医院针灸科;新疆维吾尔自治区哈密职业技术学校医学部;
【基金】：广东省中医药管理局广东省2009年建设中医药强省科研立项资助课题(2009249) 广州医学院2007年度自然科学科研课题(0703016)
【分类号】：R743.3
[Abstract]:Objective to explore the effect of standardized management of integrated traditional Chinese and western medicine on motor function and quality of life in stroke patients. Methods 388 stroke patients from 6 community health service institutions in Guangzhou were randomly divided into experimental group (n = 194) and control group (n = 194). The experimental group was treated with integrated traditional Chinese and western medicine on the basis of routine treatment of western medicine. The control group only received routine treatment of western medicine. The questionnaire survey was carried out after 3 months of management and 6 months of management by using functional comprehensive rating scale (FCA) and quality of life (QOL) summary table (QOL). Results A total of 8 people in the two groups were lost, the loss rate was 2.1%. Compared with the control group, there was no significant difference in general clinical features, FCA score and QOL score between the experimental group and the control group, but there was significant difference in FCA,QOL score between the two groups after 3 months of standardized management of integrated traditional Chinese and western medicine and 6 months of management (P 0.05). The comparison in the group showed that there was significant difference in the experimental group after 3 months of management (P 0.05), and there was significant difference between the 6 months in the management group and the 3 months in the management group (P 0.05). Conclusion the standardized management of integrated traditional Chinese and western medicine has a significant effect on the improvement of motor function and quality of life in stroke patients.
【作者单位】： 广州医学院公共卫生与全科医学学院;广东省中医院针灸科;新疆维吾尔自治区哈密职业技术学校医学部;
【基金】：广东省中医药管理局广东省2009年建设中医药强省科研立项资助课题(2009249) 广州医学院2007年度自然科学科研课题(0703016)
【分类号】：R743.3
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