中医特色卒中单元对缺血性脑卒中患者生活质量的影响

    陈国成，潘林平*，陈巧明，何建平，李晓霞，孙燕

    (广州市越秀区中医医院，广州 510030)

    摘要：目的观察中医特色卒中单元对缺血性脑卒中患者生活质量的影响。方法将70例患者随机分为治疗组和对照组。2组均采用卒中单元常规治疗，即降颅压、抗血小板聚集、脑保护、神经细胞营养剂和西医对症治疗，以及西医心理治疗、语言康复、肢体功能康复。治疗组予中医特色卒中单元——在组织管理上，参照正规卒中单元医疗模式的实施形式，结合自身实际情况整合最有效的中医资源，强调团队合作，明确工作任务；在治疗措施上，除了对患者实施脑卒中的上述西医常规治疗外，给予中医学的经典方药、中医心理疗法、养生保健指导、传统康复技术。2组按此方案治疗28 d。结果治疗28 d后，治疗组在神经功能缺损程度 (NIHSS) 评分、Barthel指数 (BI) 评定、抑郁自评量表(SDS)上均优于对照组，2组比较，P

    *通信作者：潘林平，女，硕士，副主任医师，电话-13828475603，电子信箱-panlinping@126.com

    Characteristics of TCM in stroke unit for quality of life of patients with ischemic stroke

    CHEN Guocheng, PAN Linping*, CHEN Qiaoming, HE Jianping, LI Xiaoxia, SUN Yan

    (Guangzhou Yuexiu District Hospital of Traditional Chinese Medicine, Guangzhou 510030, China)

    Abstract：ObjectiveTo observe the effect of traditional Chinese medicine characteristics of stroke unit on the quality of life in patients with ischemic stroke. MethodsThe 70 patients were randomly divided into experimental group and control group. The two groups were treated with routine treatment of stroke unit, namely: to reduce intracranial pressure, anti platelet aggregation, protecting brain, nerve cell nutrition and Western medicine and Western medicine symptomatic treatment, psychological treatment, rehabilitation of language, limb function rehabilitation. The experimental group was treated with TCM characteristics of stroke unit-in the organization and management, the implementation of reference formal form of stoke unit medical care model, combined with their own actual situation of integration of traditional Chinese medicine resources in the most effective, emphasis on teamwork, clear tasks; in the treatment measures, in addition to the routine treatment of Western Medicine on the patients with the implementation of the stroke, classical prescription, TCM psychological treatment, health care, rehabilitation guidance of traditional technology gives the motherland medicine. Two groups according to the treatment plan for 28 days. ResultsThe 28 days after treatment, the neural function defect degree (NIHSS) score, Barthel index (BI) assessment, self rating Depression Scale (SDS), two groups have significant meaning,P0.05) ......