[1]李晶晶,何望生.中医护理联合认知疗法对气虚血瘀型卒中后认知功能障碍的影响[J].西部中医药,2023,36(01):131-135.[doi:10.12174/j.issn.2096-9600.2023.01.31]
　LI Jingjing,HE Wangsheng.Influence of TCM Nursing Combined with Cognitive Therapy on Cognitive Dysfunction after Stroke of Qi Deficiency and Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2023,36(01):131-135.[doi:10.12174/j.issn.2096-9600.2023.01.31]
点击复制

中医护理联合认知疗法对气虚血瘀型卒中后认知功能障碍的影响
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年01期
页码:
131-135
栏目:
出版日期:
2023-01-15

文章信息/Info

Title:
Influence of TCM Nursing Combined with Cognitive Therapy on Cognitive Dysfunction after Stroke of Qi Deficiency and Blood Stasis Pattern
作者:
李晶晶, 何望生
安徽中医药大学第一附属医院脑病三科，安徽 合肥 230001
Author(s):
LI Jingjing, HE Wangsheng
Third Department of Encephalopathy, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230001, China
关键词:
卒中后认知功能障碍; 气虚血瘀; 认知疗法; 穴位贴敷; 穴位按摩; 中医护理
Keywords:
PSCI; deficiency and blood stasis pattern; cognitive therapy; acupoint application; acupoint massage; TCM nursing
分类号:
R242
DOI:
10.12174/j.issn.2096-9600.2023.01.31
文献标志码:
B
摘要:
目的探讨中医护理联合认知疗法对气虚血瘀型卒中后认知功能障碍（post-stroke cognitive impairment，PSCI）的影响。 方法将PSCI患者100例采用随机数字表法分为对照组和观察组各50例，对照组给予认知疗法，观察组在对照组基础上增加中医护理。观察两组患者治疗前后神经功能缺损程度、日常生活能力、认知功能障碍程度和中医症状评分及临床疗效和不良反应。 结果1）治疗后两组患者美国国立卫生研究院卒中量表（national institute of health stroke scale，NIHSS）和日常生活活动能力量表（activity of daily living，ADL）评分较治疗前下降，蒙特利尔认知评估量表（Montreal cognitive assessment，MoCA）和简易精神状态检查量表（mini-mental state examination，MMSE）评分较治疗前升高，且观察组各评分改善均优于对照组（P＜0.05）；2）治疗后两组患者中医各症状评分较治疗前下降，观察组低于对照组（P＜0.05）；3）观察组总有效率为95.92%，高于对照组的82.98%（P＜0.05）；4）两组患者治疗期间均无严重不良反应发生。 结论中医护理联合认知疗法对改善气虚血瘀型PSCI疗效更好，安全性较高。
Abstract:
ObjectiveTo explore the influence of TCM nursing and cognitive therapy on PSCI of Qi deficiency and blood stasis pattern. MethodsAll 100 PSCI patients were allocated to the control group and the observation group according to random number table method, with 50 cases in each group, the control group accepted cognitive therapy, and the observation group TCM nursing based on the therapy the control group received. To observe NIHSS, ADL, the degree of cognitive dysfunction, TCM syndrome integrals, clinical effects and adverse reaction before and after treatment between both groups. Results1)After the treatment, NIHSS and ADL scores of both groups were lower than these before the treatment, MoCA and MMSE scores were higher than these before the treatment, and the improvements of the scores in the observation group were better than these of the control group (P<0.05); 2)After the treatment, TCM syndrome integrals of both groups were reduced compared with these before the treatment, the observation group was lower than the control group (P<0.05); 3)total effective rate of the observation group was 95.92%, higher than 82.98% of the control group (P<0.05); 4) No severe adverse reaction happened in both groups during therapeutic periods. ConclusionTCM nursing and cognitive therapy show better clinical efficacy in improving PSCI of Qi deficiency and blood stasis pattern with higher safety.

相似文献/References:

[1]张小荣.李妍怡教授治疗中风后遗症经验探析[J].西部中医药,2012,25(07):25.
　ZHANG Xiao-rong.Analysis on Professor LI Yan-yi′s Experience in Treating Sequela of Apoplexy[J].Western Journal of Traditional Chinese Medicine,2012,25(01):25.
[2]刘玉霞,王亚红△,王硕仁,等.冠心病临床心力衰竭(阶段C)患者证治规律研究[J].西部中医药,2015,28(03):1.
[3]申艳方,杜菊梅,安书芬.丹黄通脉胶囊治疗气虚血瘀兼阴虚型脑梗死恢复期患者30例[J].西部中医药,2015,28(12):84.
[4]何旭.中西医结合治疗老年高血压病40例[J].西部中医药,2014,27(10):112.
[5]写国斌,展存丽,张军.眩晕康汤联合倍他司汀治疗无痛性心绞痛99例[J].西部中医药,2016,29(02):110.
　XIE Guobin,ZHAN Cunli,ZHANG Jun.XuanYun Kang Decoction Combined with Betahistine in Treating 99 Cases of Stable Angina Pectoris[J].Western Journal of Traditional Chinese Medicine,2016,29(01):110.
[6]董竞方,马晓昌.双参宁心颗粒治疗气虚血瘀型稳定型心绞痛疗效观察[J].西部中医药,2019,32(01):70.
　DONG Jingfang,MA Xiaochang.Observation on ShuangShen NingXin Granules in Treating Stable Angina Pectoris of Qi-deficiency Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(01):70.
[7]韩庭伟,武占玮.芪苈强心胶囊联合曲美他嗪治疗气虚血瘀型慢性肺源性心脏病60例[J].西部中医药,2019,32(08):95.
　HAN Tingwei,WU Zhanwei.Qili Qiangxin Capsules Combined with Trimetazidine in the Treatment for 60 Cases of Chronic Pulmonary Heart Disease of Qi Deficiency and Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(01):95.
[8]袁捷,赵媛,雷亚玲,等.脑脉泰联合健脑头针对脑梗死后轻中度认知障碍气虚血瘀型患者的影响[J].西部中医药,2021,34(03):113.[doi:10.12174/j.issn.2096-9600.2021.03.29]
　YUAN Jie,ZHAO Yuan,LEI Yaling,et al.Effects of Naomaitai Combined with Brain-strengthening Scalp Acupunctureon Mild to Moderate Cognitive Impairment in Patients of Qi-deficiency Blood-stasis Pattern after Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2021,34(01):113.[doi:10.12174/j.issn.2096-9600.2021.03.29]
[9]王仁磊,李玉,曹斌.循经刮痧辅助治疗气虚血瘀型稳定型心绞痛临床观察[J].西部中医药,2023,36(09):127.[doi:10.12174/j.issn.2096-9600.2023.09.28]
　WANG Renlei,LI Yu,CAO Bin.Clinical Observation on Scraping Therapy along the Meridian as Adjunctive Therapy in Treating Qi Deficiency and Blood Stasis Pattern Stable Angina Pectoris[J].Western Journal of Traditional Chinese Medicine,2023,36(01):127.[doi:10.12174/j.issn.2096-9600.2023.09.28]

备注/Memo

备注/Memo:
李晶晶（1985—），女，主管护师。研究方向：脑病及老年病的中医护理。安徽省自然科学基金面上项目（1808085MH263）。
更新日期/Last Update: 2023-01-15