中医辨证护理在高血压脑出血患者临床护理中的实践研究

李莹

【摘要】 目的：评价中医辨证护理干预对高血压脑出血患者临床预后的影响，以优化高血压脑出血患者临床护理工作。方法：选择笔者所在医院2017年6月-2018年2月收治住院治疗的高血压脑出血患者84例。进行患者随机分组，各42例。试验组、参照组高血压脑出血患者分别接受中医辨证护理及常规护理。对比两组高血压脑出血患者干预期间血肿吸收情况、神经功能评分情况及尿路感染、便秘等并发症情况。结果：试验组高血压脑出血患者干预后血肿量、水肿面积等血肿吸收情况及神经功能评分情况均明显优于参照组，尿路感染、便秘等并发症发生率低于参照组，差异均有统计学意义（P<0.05）。结论：高血压脑出血患者治疗期间配合中医辨证护理干预可以提高患者安全性、促进患者血肿吸收及神经功能缺损状况改善，护理效果显著。

【关键词】 中医辨证护理; 高血压脑出血; 并发症; 神经功能; 血肿吸收

doi：10.14033/j.cnki.cfmr.2019.27.053 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Practical Research on TCM Differentiation Syndrome Nursing in Clinical Nursing of Patients with Hypertensive Cerebral Hemorrhage/LI Ying.//Chinese and Foreign Medical Research，2019，17（27）：-125

【Abstract】 Objective：To evaluate the effect of TCM differentiation syndrome differentiation nursing intervention on clinical prognosis of patients with hypertensive intracerebral hemorrhage in order to optimize the clinical nursing work of patients with hypertensive intracerebral hemorrhage.Method：A total of 84 patients with hypertensive intracerebral hemorrhage admitted to our hospital from June 2017 to February 2018 were enrolled and divided into two groups randomly.Patients in the experimental group and the reference group with hypertensive cerebral hemorrhage received TCM differentiation syndrome nursing and routine nursing.The hematoma absorption，neurological function scores，urinary tract infections，constipation and other complications were compared between the two groups of patients with hypertensive intracerebral hemorrhage.Result：The hematoma volume， edema area and neurological function of the experimental group were significantly better than those of the reference group（P<0.05）.The incidence of complications such as urinary tract infection and constipation was lower than that of the reference group（P<0.05）.Conclusion：The treatment of hypertensive cerebral hemorrhage combined with TCM syndrome differentiation can improve the safety of patients，promote the hematoma absorption and improve the neurological deficit，and the nursing effect is remarkable.

【Key words】 TCM syndrome differentiation nursing; Hypertensive cerebral hemorrhage; Complications; Neurological function; Hematoma absorption

First-authors address：Changping Chinese Medicine Hospital of Beijing，Beijing 102200，China

高血压是多发疾病代表，很容易导致患者多部位重要器官功能的障碍，后果最严重的就是累及大脑部位导致患者脑出血的发生，现代医学研究认为，高血压可以作为脑出血的独立危险因素。高血压脑出血发生后，患者会出现剧烈的嘔吐、相应出血部位支配肢体的功能障碍及语言功能的丧失等许多临床表现啊，严重时甚至会危及患者生命。该病症状危重，进展迅速，需要进行积极及时的临床处理与护理干预。基于疾病的特殊性，除采取相应治疗方案外，还需配合护理干预以改善患者神经功能损害情况[1-2]。相关资料指出，中医辨证护理对高血压脑出血患者血肿吸收、神经功能改善有积极影响，促进患者治疗预后[3]。……