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目的探讨社区中西医结合规范化管理对脑卒中患者运动功能和生存质量的效果。方法选择广州市6个社区卫生服务机构中388例脑卒中患者作为研究对象,随机分为实验组(n=194例)和对照组(n=194例)。实验组在西医常规治疗基础上,接受中西医结合治疗。对照组仅接受西医常规治疗。采用功能综合评定量表(FCA)和生存质量测定简表(QOL)分别在入选时、管理3个月后和管理6个月后进行问卷调查。结果两组共失访8人,失访率为2.1%。入组时,实验组与对照组相比,一般临床特征、FCA评分、QOL评分差异无统计学意义,而中西医结合规范化管理3个月后和管理6个月后,两组FCA、QOL评分差异均有统计学意义(P<0.05)。组内比较显示,实验组管理3个月后相比入选时差异有统计学意义(P<0.05),管理6个月后与管理3个月后相比差异有统计学意义(P<0.05)。结论社区中西医结合规范化管理对脑卒中患者运动功能和生存质量提高作用显著。
Objective To explore the effect of standardized management of integrated Chinese and Western medicine on motor function and quality of life in patients with stroke. Methods A total of 388 stroke patients from 6 community health service institutions in Guangzhou were randomly divided into experimental group (n = 194) and control group (n = 194). Experimental group on the basis of conventional Western medicine, receiving Integrative Medicine. The control group only received routine treatment of Western medicine. A questionnaire was conducted using FCA and QOL at the time of enrollment, three months after management and six months after management. Results The two groups lost a total of 8 people, the rate of loss was 2.1%. Compared with the control group, there was no significant difference in the clinical features, FCA score and QOL score between the experimental group and the control group. After 3 months of standardized management and 6 months of management, the FCA and QOL scores The differences were statistically significant (P <0.05). Compared with the control group after 3 months of management, there was significant difference (P <0.05) when compared with the control group after 3 months of management, after 6 months of management and after 3 months of management, the difference was statistically significant (P <0.05) . Conclusion The standardized management of integrated Chinese and Western medicine has a significant effect on the improvement of motor function and quality of life in stroke patients.