中药熏洗配合中医康复护理改善脑卒中后偏瘫肢体功能的效果
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摘要
目的探讨中药熏洗配合中医康复护理治疗改善中风后偏瘫肢体功能的护理效果。方法选择2017年3月～2018年2月在我院诊断治疗的脑卒中后偏瘫肢体功能障碍患者80例为研究对象。随机分为干预组与对照组,各40例。对照组给予常规康复护理,干预组给予中药熏洗配合中医康复护理。比较两组干预前后ADL、FuglMeyer评分、神经功能缺损评分以及护理效果。结果干预后两组ADL评分显著高于干预前,差异有统计学意义(P<0.05);干预后,干预组ADL评分显著高于对照组,差异有统计学意义(P<0.05)。干预后两组Fugl-Meyer评分显著高于干预前,差异有统计学意义(P<0.05);干预后,干预组Fugl-Meyer评分显著高于对照组,差异有统计学意义(P<0.05)。干预后,两组神经功能缺损评分均显著低于干预前,差异有统计学意义(P<0.05);干预后干预组神经功能缺损评分显著低于对照组,差异有统计学意义(P<0.05)。干预组护理效果显著高于对照组,差异有统计学意义(P<0.05)。结论中药熏洗配合中医康复护理能够显著改善脑卒中后偏瘫患者的肢体功能。
Objective To discuss the effect of Chinese medicine fumigation combined with rehabilitation nursing on improving hemiplegic limb function after stroke. Methods 80 cases with hemiplegic limb function after stroke from March 2017 to February 2018 were selected and randomly divided into the intervention group and the control group,each of 40 cases. The control group received routine rehabilitation nursing, and the intervention received Chinese medicine fumigation combined with rehabilitation nursing. ADL, Fugl-Meyer score, neurological impairment score and nursing effect before and after intervention were compared. Results After intervention, ADL in the two groups were higher than those before intervention(P<0.05); After intervention, ADL in the intervention group was higher than those in the control group(P<0.05). After intervention, Fugl-Meyer in the two groups were higher than that before intervention(P<0.05); After intervention, Fugl-Meyer in the intervention group was higher than those in the control group(P<0.05). After intervention, neurological impairment score in the two groups were higher than that before intervention(P<0.05); After intervention, neurological impairment score in the intervention group was higher than that in the control group(P<0.05). The nursing effect of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion Chinese medicine fumigation combined with rehabilitation nursing can improving hemiplegic limb function after stroke.
Objective To discuss the effect of Chinese medicine fumigation combined with rehabilitation nursing on improving hemiplegic limb function after stroke. Methods 80 cases with hemiplegic limb function after stroke from March 2017 to February 2018 were selected and randomly divided into the intervention group and the control group,each of 40 cases. The control group received routine rehabilitation nursing, and the intervention received Chinese medicine fumigation combined with rehabilitation nursing. ADL, Fugl-Meyer score, neurological impairment score and nursing effect before and after intervention were compared. Results After intervention, ADL in the two groups were higher than those before intervention(P<0.05); After intervention, ADL in the intervention group was higher than those in the control group(P<0.05). After intervention, Fugl-Meyer in the two groups were higher than that before intervention(P<0.05); After intervention, Fugl-Meyer in the intervention group was higher than those in the control group(P<0.05). After intervention, neurological impairment score in the two groups were higher than that before intervention(P<0.05); After intervention, neurological impairment score in the intervention group was higher than that in the control group(P<0.05). The nursing effect of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion Chinese medicine fumigation combined with rehabilitation nursing can improving hemiplegic limb function after stroke.
引文
[1]杜红红.脑卒中后康复护理干预肩手综合征患者的康复效果观察[J].中国组织工程研究,2015,19(B12):4-6.
[2]刘颖,姜丹丹,何春凤.系统中医康复护理对早期中风偏瘫患者65例肢体功能恢复的影响[J].辽宁中医杂志,2015,42(7):1342-1344.
[3]龚礼敏,张雅丽,蔡珏.中医护理方案在中风(脑梗死康复期)病人护理中的应用[J].全科护理,2015,13(7):601-602.
[4]易亮,刘影红,赵喜,等.中西医综合感觉训练对脑卒中偏瘫患者功能的影响[J].中国现代医学杂志,2016,26(18):115-117.
[5]Loewen S C,Anderson B A.Reliability of the modified motor assessment scale and the barthel index[J].Phys Ther,1988,68(7):1077-1081.
[6]陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):519-522.
[7]全国第4届脑血管病学术会议.脑卒中患者临床神经功能缺失程度评分标准[J].中国实用内科杂志,1997,17(5):57-59.
[8]Meyer BC,Lyden PD.The modified National Institutes of Health Stroke Scale:it's time has come[J].Int J Stroke,2009,4(4):267-273.
[9]钟绍敏,吴斌,吴怡,等.中医护理促进脑卒中偏瘫患者康复的临床观察[J].中国中医急症,2015,24(1):184-186.
[10]刘梨,张月娟,廖若夷,等.脑卒中急性期中医护理方案的多中心临床研究[J].护理研究:下旬版,2015,29(2):654-659.
[11]袁艳辉.温针灸治疗缺血性脑卒中后肩手综合征临床观察[J].中国中医药信息杂志,2014,21(4):100-101.
[12]中华中医药学会.中医护理常规技术操作规程/中华中医药学会[M].北京:中国中医药出版社,2006:202.
[13]武秋娣.中医综合护理对脑卒中偏瘫患者日常生活自理能力及运动功能的影响[J].国际护理学杂志,2014,35(11):3075-3077.
[14]辛兵.中医护理干预对老年脑卒中抑郁患者的影响[J].临床医药文献杂志(电子版),2014,1(18):2786-2786.
[15]蔡凯.康复训练结合中药熏洗治疗脑卒中偏瘫痉挛疗效观察[J].实用中医药杂志,2017,33(7):764-765.
[16]杨军,孙灵芝.中药熏洗结合促通技术治疗脑卒中后肩-手综合征60例[J].中国医药导报,2011,8(3):83-84.
[17]张忠霞,张学玲,高汉义.中药熏洗加运动疗法治疗脑卒中偏瘫后肩痛疗效观察[J].山东医药,2011,51(33):98-99.
[2]刘颖,姜丹丹,何春凤.系统中医康复护理对早期中风偏瘫患者65例肢体功能恢复的影响[J].辽宁中医杂志,2015,42(7):1342-1344.
[3]龚礼敏,张雅丽,蔡珏.中医护理方案在中风(脑梗死康复期)病人护理中的应用[J].全科护理,2015,13(7):601-602.
[4]易亮,刘影红,赵喜,等.中西医综合感觉训练对脑卒中偏瘫患者功能的影响[J].中国现代医学杂志,2016,26(18):115-117.
[5]Loewen S C,Anderson B A.Reliability of the modified motor assessment scale and the barthel index[J].Phys Ther,1988,68(7):1077-1081.
[6]陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):519-522.
[7]全国第4届脑血管病学术会议.脑卒中患者临床神经功能缺失程度评分标准[J].中国实用内科杂志,1997,17(5):57-59.
[8]Meyer BC,Lyden PD.The modified National Institutes of Health Stroke Scale:it's time has come[J].Int J Stroke,2009,4(4):267-273.
[9]钟绍敏,吴斌,吴怡,等.中医护理促进脑卒中偏瘫患者康复的临床观察[J].中国中医急症,2015,24(1):184-186.
[10]刘梨,张月娟,廖若夷,等.脑卒中急性期中医护理方案的多中心临床研究[J].护理研究:下旬版,2015,29(2):654-659.
[11]袁艳辉.温针灸治疗缺血性脑卒中后肩手综合征临床观察[J].中国中医药信息杂志,2014,21(4):100-101.
[12]中华中医药学会.中医护理常规技术操作规程/中华中医药学会[M].北京:中国中医药出版社,2006:202.
[13]武秋娣.中医综合护理对脑卒中偏瘫患者日常生活自理能力及运动功能的影响[J].国际护理学杂志,2014,35(11):3075-3077.
[14]辛兵.中医护理干预对老年脑卒中抑郁患者的影响[J].临床医药文献杂志(电子版),2014,1(18):2786-2786.
[15]蔡凯.康复训练结合中药熏洗治疗脑卒中偏瘫痉挛疗效观察[J].实用中医药杂志,2017,33(7):764-765.
[16]杨军,孙灵芝.中药熏洗结合促通技术治疗脑卒中后肩-手综合征60例[J].中国医药导报,2011,8(3):83-84.
[17]张忠霞,张学玲,高汉义.中药熏洗加运动疗法治疗脑卒中偏瘫后肩痛疗效观察[J].山东医药,2011,51(33):98-99.