摘要
目的研究延续性护理联合微波电针康复在老年脑小血管病患者的应用效果。方法选取2018年4-10月在安徽省第二人民医院收治的54例脑小血管病老年患者,按随机数字表法分为对照组和观察组,每组各27例患者,对照组患者出院后接受延续性护理进行康复,观察组采用延续性护理联合微波电针康复,比较2组患者步态、上下肢体功能评分和生活质量评分。结果出院时,2组患者10 m最快步行速度(10 m MWS)、上下肢功能评分、生活质量评分差异均无统计学意义(均P>0.05);出院后2个月、6个月,10 m MWS值对照组[(27.3±2.8)m/min、(31.1±2.9)m/min]和观察组[(30.7±3.1)m/min、(35.9±3.5)m/min]均优于出院时[(22.2±2.4)m/min、(21.9±2.1)m/min,均P<0.01],且观察组10 m MWS增加幅度显著大于对照组。出院后2个月、6个月,上、下肢评分对照组和观察组均优于出院时(均P<0.01),且出院后2个月、6个月,观察组上下肢评分均显著优于对照组(均P<0.01);出院后2个月、6个月生活质量评分2组均优于出院时(均P<0.01),且观察组生活质量评分增加幅度显著大于对照组(均P<0.01)。结论老年脑小血管病患者采用延续性护理联合微波电针康复,可以明显改善老年患者的步态障碍﹑上下肢活动能力﹑生活质量评分,值得临床推广。
Objective To study the effect of the continuous nursing combined with ultrasonic and electroacupuncture in old Cerebral small vessel diseases(CSVD) patients. Methods From April 2018 to December 2018, 54 old CSVD patients form internal neurology department of Anhui No 2 Provincial People`s Hospital were chosen and randomly divided into the control group(n=27) and research group(n=27).The control group was used continuous nursing,while the research group was used the continuous nursing combined with ultrasonic and electroacupuncture.The maximun walking speed within 10 m(10 m MWS),the life quality scores,the lower and upper limb functions scores were compared between the two groups. Results There were no statistically significant in 10 m MWS, limb functions scores, life quality scores between the two groups while discharge, all P>0.05. Two months and six months after discharge, the 10 m MWS of the control group [(27.3±2.8)m/min,(31.1±2.9)m/min] and the research group [(30.7±3.1)m/min,(35.9±3.5)m/min] were better than that of the discharge [(22.2±2.4)m/min,(21.9±2.1)m/min, all P<0.01], and the increase of 10 m MWS of the research group was significantly better than that of the control group. Two months and six months after discharge, the limb functions scores of the control group and the research group were better than those at discharge(all P<0.01), and at two and six months after discharge, the limb functions scores in the research group were significantly better than those in the control group(all P<0.01);Two months and six months after discharge, the quality of life scores of the two groups were better than that of the discharge(all P<0.01), and the increase of the quality of life scores of the research group was significantly greater than that of the control group(all P<0.01). Conclusion The continuous nursing combined with ultrasonic and electroacupuncture can improve 10 m MWS, the life quality scores,the lower and upper limb functions scores in old CSVD patients, which is worthy of clinical application.
作者
王艾萍
李彬
李本滢
WANG Ai-ping;LI Bin;LI Ben-ying(Department of Neurology,Anhui No 2 Provincial People`s Hospital,Hefei,Anhui 230009,China)
出处
《中华全科医学》
2020年第6期1055-1058,共4页
Chinese Journal of General Practice
基金
安徽省卫计委课题(2018SEYL012)。
关键词
延续性护理
微波
电针
老年
脑小血管病
步态障碍
肢体功能
Continuous nursing
Ultrasonic
Electroacupuncture
Old
Cerebral small vessel diseases
Limb functions
