中医药医养结合促进老年脑卒中患者康复的临床研究

A clinical research on efficacy of integrating traditional Chinese medical and elderly care in promoting rehabilitation of elderly stroke patients

中文关键词: 老年  脑卒中  中医药医养结合  认知功能  生活自理能力  生活质量

英文关键词: elderly  stroke  integrating traditional Chinese medical and elderly care  cognitive function  self-care abili-ty  quality of life

中文摘要:

      目的 探讨中医药医养结合促进老年脑卒中患者康复的临床疗效.方法 回顾性选取2024年1月—2024年12月成都市第一人民医院收治的102例老年脑卒中患者的临床资料,采用随机数字表法将患者分为观察组和对照组,每组51例.对照组采用常规治疗,观察组在常规治疗的基础上加用中医药医养结合干预,2组均干预6个月.干预结束后,比较2组患者的临床疗效,干预前后蒙特利尔认知评分(MoCA)、生活自理能力评分(Barthel)、脑卒中专用生活质量评分(SS-QoL),焦虑及抑郁情况,并发症发生情况及满意度.结果 干预后,观察组患者临床总有效率高于对照组,差异有统计学意义(P＜0.05).干预前,2组患者MoCA、Barthel、SS-QoL评分差异均无统计学意义(P＞0.05);干预后,2组患者MoCA、Barthel、SS-QoL评分均升高,且观察组患者MoCA、Barthel、SS-QoL评分均高于对照组,差异均有统计学意义(P＜0.05).干预后,观察组患者焦虑及抑郁症发生率、并发症发生率均低于对照组,满意度高于对照组,差异均有统计学意义(P＜0.05).结论 中医药医养结合可较好改善老年脑卒中患者认知、日常生活能力、生活质量,还可降低焦虑及抑郁症发生率、并发症发生率,提升患者满意率.

英文摘要:

      Objective To explore the clinical efficacy of integrating traditional Chinese medical and elderly care in pro-moting the rehabilitation of elderly stroke patients.Methods The clinical data from 102 elderly stroke patients admitted to First People's Hospital of Chengdu City from January 2024 to December 2024 were retrospectively selected.Patients were ran-domly divided into observation group and control group using a random number table,with 51 cases in each group.The control group received conventional treatment,while the observation group implemented the integrated traditional Chinese medical and elderly care on the basis of conventional treatment.Both groups were intervened for 6 months.The clinical efficacy,Montreal Cognitive Assessment(MoCA)score,self-care ability score[Barthel Index(BI)score],Stroke-Specific Quality of Life Scale(SS-QoL)score before and after the intervention were compared between the two groups.The incidences of anxiety,de-pression and complication,and patients' satisfaction were also compared between the two groups after the intervention.Results After the intervention,the total clinical effective rate in the observation group was significantly higher than that in the control group(P＜0.05).Before the intervention,there were no statistically significant differences in the scores of MoCA,Barthel and SS-QoL between the two groups(P＞0.05).After the intervention,the scores of MoCA,Barthel and SS-QoL in-creased in both groups,and the scores in the observation group were significantly higher than those in the control group(all P＜0.05).After the intervention,the incidence of anxiety,depression and complication in the observation group were signifi-cantly lower than those in the control group,while patients' satisfaction was significantly higher than that in the control group(all P＜0.05).Conclusion The integrating traditional Chinese medical and elderly care can effectively improve the cognitive function,daily living ability and quality of life of elderly stroke patients.It can also reduce the incidence of anxiety,depression and complication,and enhances the patients' satisfaction.