【目的】通过对脑卒中患者健康教育及行为危险因素的干预，探讨社区脑卒中二级预防规范方案及实施效果。【方法】选择上海市长宁区同仁医院收治的83例脑卒中患者为研究对象，对脑卒中患者及其监护人定期进行健康教育，普及疾病相关知识...【目的】通过对脑卒中患者健康教育及行为危险因素的干预，探讨社区脑卒中二级预防规范方案及实施效果。【方法】选择上海市长宁区同仁医院收治的83例脑卒中患者为研究对象，对脑卒中患者及其监护人定期进行健康教育，普及疾病相关知识，并进行持续的行为危险因素的干预。一年后随访，用自行设计的《脑卒中患者干预后评判问卷》对脑卒中患者及其监护人进行问卷调查，了解脑卒中患者及其监护人对脑卒中疾病相关知识的掌握情况、不良生活习惯的改善及脑卒中复发情况。【结果】干预后，脑卒中患者及其监护人对脑卒中疾病相关知识的知晓率、脑卒中患者不良生活习惯的改善率均较干预前有显著提高，差异有统计学差异（ P ＜0．01），脑卒中复发率为4．8％。【结论】对脑卒中患者进行二级预防能显著提高其相关疾病知识的知晓率，改变其不良生活习惯，能够明显降低脑卒中的复发率。展开更多
Objective To investigate the clinical efficacy of electroacupuncture plus waist-strengthening exercises in treating herniation of lumbar intervertebral disc. Methods Fifty patients with herniation of lumbar interverte...Objective To investigate the clinical efficacy of electroacupuncture plus waist-strengthening exercises in treating herniation of lumbar intervertebral disc. Methods Fifty patients with herniation of lumbar intervertebral disc were treated with eleetroaeupuncture at the points of Shiqizhui （十七椎 EX-B 8）, Yaoyangguan（腰阳关 GV 3）, Huantiao （环跳 GB 30）, Yanglingquan （阳陵泉GB 34） and waist-strengthening exercises. The total scores of general symptoms were evaluated before the treatment and after four months and seven months of treatment to compare the therapeutic effects. Results The total scores of general symptoms after four months and seven months of treatment were 15.30±5.66 and 19.08±4.57 respectively, which were much higher than the score of 7.42±2.20 before the treatment （both P〈0.01 ）, in addition, the score after seven months of treatment was higher than that after four months of treatment. The variation of scores in patients with different types after treatment was statistically significant （P〈0.05）, and the best effect can he seen in the blood stagnation type of patients with herniation of hnnbar intervertebral disc, then less the patients with liver and kidney deficiency type. Conclusion Electroacupuneture plus waist-strengthening exercises has a satisfactory therapeutic effect on herniation of lumbar intervertebral diste, the longer course of treatment is, the beffer therapeutic effect achieved.展开更多
文摘【目的】通过对脑卒中患者健康教育及行为危险因素的干预，探讨社区脑卒中二级预防规范方案及实施效果。【方法】选择上海市长宁区同仁医院收治的83例脑卒中患者为研究对象，对脑卒中患者及其监护人定期进行健康教育，普及疾病相关知识，并进行持续的行为危险因素的干预。一年后随访，用自行设计的《脑卒中患者干预后评判问卷》对脑卒中患者及其监护人进行问卷调查，了解脑卒中患者及其监护人对脑卒中疾病相关知识的掌握情况、不良生活习惯的改善及脑卒中复发情况。【结果】干预后，脑卒中患者及其监护人对脑卒中疾病相关知识的知晓率、脑卒中患者不良生活习惯的改善率均较干预前有显著提高，差异有统计学差异（ P ＜0．01），脑卒中复发率为4．8％。【结论】对脑卒中患者进行二级预防能显著提高其相关疾病知识的知晓率，改变其不良生活习惯，能够明显降低脑卒中的复发率。
文摘Objective To investigate the clinical efficacy of electroacupuncture plus waist-strengthening exercises in treating herniation of lumbar intervertebral disc. Methods Fifty patients with herniation of lumbar intervertebral disc were treated with eleetroaeupuncture at the points of Shiqizhui （十七椎 EX-B 8）, Yaoyangguan（腰阳关 GV 3）, Huantiao （环跳 GB 30）, Yanglingquan （阳陵泉GB 34） and waist-strengthening exercises. The total scores of general symptoms were evaluated before the treatment and after four months and seven months of treatment to compare the therapeutic effects. Results The total scores of general symptoms after four months and seven months of treatment were 15.30±5.66 and 19.08±4.57 respectively, which were much higher than the score of 7.42±2.20 before the treatment （both P〈0.01 ）, in addition, the score after seven months of treatment was higher than that after four months of treatment. The variation of scores in patients with different types after treatment was statistically significant （P〈0.05）, and the best effect can he seen in the blood stagnation type of patients with herniation of hnnbar intervertebral disc, then less the patients with liver and kidney deficiency type. Conclusion Electroacupuneture plus waist-strengthening exercises has a satisfactory therapeutic effect on herniation of lumbar intervertebral diste, the longer course of treatment is, the beffer therapeutic effect achieved.
