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目的 探讨中西医结合护理干预对脑出血患者预后及生活质量的影响.方法 选择2010年1月至2011年1月吉林大学白求恩第一医院神经创伤外科收治的脑出血患者80例,采用随机数字表法分为两组,对照组40例给予常规药物治疗和护理,观察组40例在对照组治疗的基础上给予中西医结合护理.比较两组患者的住院时间、并发症发生率、负性情绪变化及生活质量.结果 观察组患者的住院时间为(16.25±1.61)d,对照组为(18.21±2.06)d,两组比较,差异有统计学意义(=3.87,P＜0.05)；观察组并发症发生率为12.5％,对照组为50.0％,两组比较,差异有统计学意义(x2=4.52,P＜0.05)；干预后观察组患者SDS评分为(42.71±7.56),SAS得分为(40.08±8.63),明显低于对照组的(53.91±9.01),(54.22±11.10),两组比较,差异有统计学意义(t值分别为5.01,5.98；P＜0.05).观察组干预后Barthel指数评分(71.47±10.18)明显高于对照组的(45.64±9.07),两组比较,差异有统计学意义(=5.01,P＜0.05).结论 中西医结合护理能提高脑出血患者的治疗效果,缓解患者的负性情绪,提高生活质量.

Objective To observe the influence of the traditional Chinese and western medicine nursing intervention on prognosis and life quality of patients with cerebral hemorrhage.Methods Totals of 80 cases of cerebral hemorrhage from Department of Nerve Traumatic Surgery,Jilin University Bethune First Hospital between January 2010 and January 2011 were randomly divided into observation group and control group.The observation group was treated by traditional Chinese and western medicine nursing intervention,while the control group was treated by routine nursing intervention treatment.The hospital stays,complication rates,SDS and SAS scores as well as quality of life were compared between the two groups.Results The hospital stays of observation group was significantly lower than that of control group [(16.25 ± 1.61) d vs (18.21 ± 2.06) d] and the difference was statistical significant (t =3.87,P ＜ 0.05).The incidence of complications of observation group was 12.5％ and that of the control group was 50.0％,a significant difference was found (x2 =4.52,P ＜ 0.05).After intervention,the scores of SDS and SAS were (42.71 ± 7.56),(40.08 ± 8.63) in observation group which were significantly lower than that of control group [(53.91 ± 9.01),(54.22 ±11.10)],the difference were statistical significant (t =5.01,5.98 ; P ＜ 0.05).The improvement of Barthel index score in observation group were significantly better than that of control group (71.47 ± 10.18 vs 45.64 ±9.07) (t =5.01,P ＜ 0.05).Conclusions Traditional Chinese and western medicine nursing intervention can effectively improve patients' prognosis,alleviate negative emotion and improve the quality of life.