黄芪当归益气药膳粥联合常规护理对缺血性脑卒中气虚血瘀证患者康复效果的影响OA
Effects of Huangqi Danggui Yiqi Medicated Porridge combined with routine nursing on the rehabilitation of ischemic stroke patients with qi deficiency and blood stasis pattern
目的 观察脑卒中后神经内科常规护理联合药食同源药膳干预,对患者神经功能恢复、日常生活活动能力及营养代谢的临床效果.方法 选取缺血性脑卒中气虚血瘀证患者 480 例,采用简单随机法分为干预组(240 例)和对照组(240 例).对照组给予神经内科基础治疗结合常规康复护理,干预组在对照组基础上加用黄芪当归益气粥药膳干预,疗程均为 8 周.结果 最终共有 470 例患者完成研究,其中干预组与对照组各 235 例.干预组的临床总有效率为 89.36%(210/235),显著高于对照组的65.96%(155/235),差异有统计学意义(P<0.05).治疗 8 周后,两组患者的Barthel指数、FMA评分以及血清白蛋白、前白蛋白和血红蛋白水平均较治疗前显著升高(P<0.05);同时,两组患者的NIHSS评分与中医证候评分均较治疗前显著降低(P<0.05).进一步比较显示,干预组在上述各项指标的改善幅度上均优于对照组(P<0.05).在安全性方面,两组患者在治疗期间的生命体征、血常规及肝肾功能均未出现明显异常.干预组仅有 2 例患者出现轻微胃肠道不适(腹胀 1 例、腹泻 1 例),症状均未经特殊处理自行缓解;对照组未见明显不良反应.研究过程中两组均未发生严重不良反应.结论 缺血性脑卒中气虚血瘀证患者在神经内科护理基础上联合药食同源药膳干预,有助于改善患者的神经功能,提高日常生活的活动能力和运动功能,改善营养状况,且安全性良好.
Objective To observe the clinical effects of conventional neurological nursing combined with medicated diet intervention based on the concept of food and medicine homology on neurological recovery,activities of daily living,and nutritional metabolism in patients after stroke.Methods A total of 480 patients with ischemic stroke of qi deficiency and blood stasis pattern were selected and divided into an intervention group(240 cases)and a control group(240 cases)using a simple randomization method.The control group received basic neurological treatment combined with routine rehabilitation nursing,while the intervention group received additional Huangqi Danggui Yiqi Medicated Porridge on the basis of the control group's regimen.The treatment course was 8 weeks.Results A total of 470 patients completed the study,with 235 cases in each of the intervention and control groups.The total clinical effective rate in the intervention group was 89.36%(210/235),which was significantly higher than that in the control group(65.96%,155/235),and the difference was statistically significant(P<0.05).After 8 weeks of treatment,the Barthel index,FMA score,and serum levels of albumin,prealbumin,and hemoglobin in both groups were significantly increased compared with before treatment(P<0.05);meanwhile,the NIHSS score and TCM pattern score in both groups were significantly decreased compared with before treatment(P<0.05).Further comparison showed that the degree of improvement in the above indicators was significantly better in the intervention group than in the control group(P<0.05).Regarding safety,no obvious abnormalities in vital signs,blood routine,or liver and kidney function were observed in either group during the treatment period.Only two patients in the intervention group experienced mild gastrointestinal discomfort(one case of abdominal distension and one case of diarrhea),both of which resolved spontaneously without special treatment.No significant adverse reactions were observed in the control group.No serious adverse events occurred in either group during the study.Conclusion For patients with ischemic stroke of the qi deficiency and blood stasis pattern,adding a food-medicine homologous medicated diet intervention to neurological nursing helps improve neurological function,enhance activities of daily living and motor function,and ameliorate nutritional status,which demonstrates good safety.
司璐
华州区人民医院,陕西 渭南 714100
医药卫生
脑卒中药食同源药膳干预神经内科护理康复效果神经功能
strokefood and medicine homologymedicated diet interventionneurological nursingrehabilitation effectneurological function
《药食同源杂志》 2026 (3)
198-204,7
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