摘要
目的:探讨急性脑出血患者实施中西医护理干预及早期肠内营养的应用效果。方法:选择130例急性脑出血患者,按随机数字表法分为对照组和观察组各65例。对照组给予鼻胃管营养支持及常规护理措施,观察组给予早期肠内营养及中西医护理干预。比较2组的应用效果。结果:护理前,2组神经功能缺损程度量表(NIHSS)评分和Barthel指数评分比较,差异无统计学意义(P>0.05)。护理后,2组NIHSS评分较治疗前降低,Barthel指数评分较治疗前升高;且观察组NIHSS评分低于对照组,而Barthel指数评分高于对照组;差异均有统计学意义(P<0.05)。护理前,2组前白蛋白、血清白蛋白和血红蛋白水平比较,差异无统计学意义(P>0.05)。护理后,2组前白蛋白、血清白蛋白和血红蛋白水平较治疗前升高,且观察组前白蛋白、血清白蛋白和血红蛋白水平高于对照组,差异均有统计学意义(P<0.05)。护理前,2组FMA评分和简易精神状态检查量表(MMSE)评分比较,差异无统计学意义(P>0.05)。护理后,2组FMA评分和MMSE评分较护理前升高,且观察组FMA评分和MMSE评分高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为9.23%,低于对照组26.15%(P<0.05)。结论:中西医护理干预及早期肠内营养对急性脑出血患者具有较好疗效,可改善患者神经功能和日常生活能力,提高患者的营养状况和认知功能,并降低并发症。
Objective:To discuss the application effect of nursing intervention of integrated Chinese and western medicine and early enteral nutrition in patients with acute cerebral hemorrhage.Methods:A total of 130 cases of patients with acute cerebral hemorrhage were selected and divided into the control group and the observation group according to the random number table method,65 cases in each group.The control group was given nutritional support by nasogastric tube and routine nursing measures,and the observation group was given early enteral nutrition and nursing intervention of integrated Chinese and western medicine.The application effect in the two groups was compared.Results:Before nursing,compared the scores of National Institutes of Health Stroke Scale(NIHSS)and Barthel Index between the two groups,there was no significance in the difference(P>0.05).After nursing,the NIHSS scores in the two groups were decreased when compared with those before treatment,and the scores of Barthel Index were increased;the NIHSS score in the observation group was lower than that in the control group,and the score of Barthel Index was higher than that in the control group;differences being significant(P<0.05).Before nursing,compared the levels of prealbumin,albumin and hemoglobin in serum between the two groups,there was no significance in the difference(P>0.05).After nursing,the levels of prealbumin,albumin and hemoglobin in the two groups were increased when compared with those before treatment,and the above levels in the observation group were higher than those in the control group,differences being significant(P<0.05).Before nursing,compared the scores of FMA and Mini-Mental State Examination(MMSE)between the two groups,there was no significance in the difference(P>0.05).After nursing,the scores of FMA and MMSE in the two groups were increased when compared with those before nursing,and the above two scores in the observation group were higher than those in the control group,differences being significant(P<0.05).The complication rate was 9.23%in the observation group,lower than that of26.15%in the control group(P<0.05).Conclusion:The application of nursing intervention of integrated Chinese and western medicine and early enteral nutrition in patients with acute cerebral hemorrhage has good curative effect,which can improve neurological function,activities of daily living,nutritional status and cognitive function,and reduce complications.
作者
陈玲
钟健
陈菲菲
金丽霓
CHEN Ling;ZHONG Jian;CHEN Feifei;JIN Lini
出处
《新中医》
CAS
2020年第9期153-156,共4页
New Chinese Medicine
基金
浙江省丽水市科学技术局项目(2019SJZC18)。
关键词
急性脑出血
肠内营养
中西医护理干预
营养指标
神经功能
运动能力
Acute cerebral hemorrhage
Enteral nutrition
Nursing intervention of Integrated Chinese and western medicine
Nutrition indexes
Neurological function
Motor ability
