标题：中西医结合卒中单元康复护理模式对脑卒中偏瘫恢复期患者的影响

      作者：左杏梅，区洁崧，冯婉芬，陈秋敏，陆少欢    (佛山市第五人民医院康复科，广东 佛山 528211)

      卷次： 2017年28卷3期

      【摘要】 目的 探讨中西医结合卒中单元康复护理模式对脑卒中偏瘫患者的影响。方法 选择我院2015年2月至2016年5月期间收治的缺血性脑卒中偏瘫恢复期患者80例为研究对象，根据随机数字表法分为观察组(n=40)与对照组(n=40)，对照组予常规神经内科康复护理，观察组实施中西医结合卒中单元康复护理模式，干预 3个月。比较干预前后两组患者的美国国立卫生研究院卒中量表(NIHSS)、简化Fugl-Meyer量表（FMA）及脑卒中专用生活质量量表(SS-QOL)评分的变化。结果 干预后，观察组与对照组患者的NIHSS分别为(6.82±2.34)分和(8.94±2.48)分，均较治疗前的(14.71±4.68)分和(14.85±4.37)分显著下降，FMA、SS-QOL评分分别为(63.52±25.78)分、(143.82±18.01)分和（45.24±18.72)分、(135.22±15.53)分，均较治疗前的(25.48±11.38)分、(120.31±15.56)分和(24.67±12.25)分、(122.83±14.48)分显著提高，且观察组患者上述评分显著优于对照组，差异均有统计学意义(P<0.05)。结论 中西医结合卒中单元康复护理模式能够改善脑卒中偏瘫恢复期患者的神经功能缺损程度及肢体运动功能，提高患者的生存质量。
      【关键词】 缺血性脑卒中；偏瘫；中西医结合；卒中单元；护理
      【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1003—6350（2017）03—0510—03

Effect of integrated traditional Chinese and Western medicine stroke unit rehabilitation nursing in patients withhemiplegia after stroke.
ZUO Xing-mei, OU Jie-song, FENG Wan-fen, CHEN Qiu-min, LU Shao-huan. Department ofRehabilitation, the Fifth People's Hospital of Foshan City, Foshan 528211, Guangdong, CHINA
【Abstract】 Objective To explore the effect of integrated traditional Chinese and Western medicine stroke unitrehabilitation nursing in patients with hemiplegia after stroke. Methods Eighty patients with hemiplegia due to isch-emic stroke in our hospital from February 2015 to May 2016 were enrolled in the study. According to the random num-ber table, the patietns were divided into observation group (n=40) and control group (n=40). Patients in the control groupreceived routine neurology rehabilitation nursing, and those in the observation group received integrated traditional Chi-nese and Western medicine stroke unit rehabilitation nursing intervention, for 3 months. The changes of NIH StrokeScale (NIHSS), Fugl-Meyer Assessment (FMA) and Stroke-specific Quality of Life (SS-QOL) scores were compared be-tween the two groups before and after intervention. Results After the intervention, the NIHSS scores were (6.82±2.34)in the observation group and (8.94±2.48) in the control group, which were significantly decreased compared with (14.71±4.68) and (14.85±4.37) before treatment. FMA and SS-QOL scores were (63.52±25.78), (143.82±18.01) in the observa-tion group and (45.24±18.72), (135.22±15.53) in the control group, which were significantly increased compared with(25.48±11.38), (120.31±15.56) and (24.67±12.25), (122.83±14.48) before treatment. The scores in the observation groupwere all significantly better than those in the control group (P<0.05). Conclusion Integrated traditional Chinese andWestern medicine stroke unit rehabilitation nursing mode can improve the neurological function and motor function, andimprove the quality of life of patients with hemiplegia after stroke.
      【Key words】 Ischemic stroke; Hemiplegia; Integrated traditional Chinese and Western medicine; Stroke unit;Nursing·护 理·doi:10.3969/j.issn.1003-6350.2017.03.058基金项目：广东省佛山市重点专科培育项目建设资助(编号：FSPY3-2015027)；广东省佛山市卫生和计生局医学科研课题立项(编号：20160119)