中国典型病例大全

目的 探讨早期中医特色护理在老年脑梗死患者中的应用。方法 选取2020年5月—2023年5月广州市越秀区中医医院收治的300例老年脑梗死患者为研究对象，将2020年5月—2021年12月收治的150例患者设为对照组，2022年1月—2023年5月收治的150例患者设为观察组，每组150例。对照组采用常规护理干预，研究组在常规护理基础上增加早期中医特色护理干预，连续干预12周，比较两组患者肢体运动功能（FMA）评分、日常生活能力评分（ADL）、Barthel指数（BI）评分、生活质量综合评定问卷（GQOLI）评分。结果 干预后，研究组患者上肢和下肢FMA评分均显著高于对照组（P<0.05）；干预后，研究组患者ADL评分、BI评分、GQOLI评分均高于对照组（P<0.05）。结论 早期中医特色护理可改善脑梗死老年患者肢体运功功能及日常生活能力，还可提高其生活质量，值得临床推广。

Objective To explore the application of early TCM nursing in elderly patients with cerebral infarction.Methods A total of 300 elderly patients with cerebral infarction admitted to Yuexiu District Hospital of Traditional Chinese Medicine in Guangzhou from May 2020 to May 2023 were selected as the subjects, 150 patients admitted from May 2020 to December 2021 were selected as the control group, and 150 patients admitted from January 2022 to May 2023 were selected as the observation group, with 150 patients in each group. The control group received routine nursing intervention, while the study group added early TCM nursing intervention for 12 weeks. Fugl-Meyer Moter Assessment(FMA) score, activities of daily living(ADL) score, Barthel Index(BI) score and generic quality of life inventory(GQOLI) score were compared between the two groups. Results After intervention, the FMA scores of upper and lower limbs in the study group patients were significantly higher than those in the control group(P < 0.05). After intervention, the ADL score, BI score and GQOLI score of the study group patients were higher than those of the control group(P < 0.05). Conclusions Early TCM nursing can improve the recovery of limb function and daily living ability of elderly patients with cerebral infarction, and improve their quality of life.