目的探讨品管圈活动对脑梗死恢复期抗凝疗效及康复进程的影响。方法回顾性分析2013年2月~2014年12月就诊的66例脑梗死患者临床资料,根据其恢复期接受的护理干预方法分成品管圈组(n=36)和非品管圈组(n=30)。对比两组受试者干预前后血脂指标[三酰甘油(TG)、胆固醇(TC)]、血液流变学指标[高切全血粘度、红细胞聚集指数]变化情况,记录其干预后4个月、8个月、12个月时美国国立卫生院神经功能缺损评分(NIHSS)差异。结果干预后,两组TG、TC等血脂指标及高切全血粘度、红细胞聚集指数等血液流变学指标均较干预前显著降低,且品管圈组<非品管圈组(P<0.05)。干预后4、8、12个月时,两组受试者NIHSS评分均较干预前显著降低,且品管圈组<非品管圈组(P<0.05)。结论将品管圈活动应用于脑梗死恢复期患者的临床护理工作中,不仅能有效提升抗凝效果,还利于促进神经功能恢复,。 Objective To investigate the effect of quality control loop on anticoagulant effect and rehabilitation process in convalescent cerebral infarction. Methods The clinical data of 66 patients with cerebral infarction who were treated from February 2013 to December 2014 were analyzed retrospectively. According to the method of nursing intervention accepted during the recovery period, the product group (n = 36) and non-product group (n = 30). The changes of blood lipid (triglyceride (TG) and cholesterol (TC)], hemorheological indexes [high shear whole blood viscosity and erythrocyte aggregation index] of two groups before and after intervention were compared and recorded 4 months after the intervention , 8 months, 12 months when the National Institutes of Health neurological deficit score (NIHSS) differences. Results After intervention, the indexes of blood rheology, such as TG and TC, and the indexes such as high cut whole blood viscosity and erythrocyte aggregation index decreased significantly in both groups (P <0.05 ). At 4, 8 and 12 months after intervention, NIHSS scores of both groups were significantly lower than those before intervention, and quality control circle