穴位按摩结合康复护理对脑卒中瘫痪患者运动功能及生活质量的影响
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摘要
目的探讨穴位按摩结合康复护理对脑卒中瘫痪患者运动功能及生活质量的影响。方法选择2016年9月～2018年5月本院收治的脑卒中后瘫痪患者80例,随机分为两组,各40例。对照组行常规康复训练,观察组行穴位按摩结合康复护理。比较两组干预后的肌张力及足跖屈角度,粗大运动功能评分及生活质量评分。结果两组干预后的肌张力低于干预前,足跖屈角度小于干预前(P<0.05),且观察组干预后的肌张力低于对照组,足跖屈角度小于对照组(P<0.05)。两组干预后的粗大运动功能评分高于干预前,生活质量评分低于干预前(P<0.05),且观察组干预后的粗大运动功能评分高于对照组,生活质量评分低于对照组(P<0.05)。结论针对脑卒中后瘫痪患者行穴位按摩结合康复护理护理,能更好地改善患者的肢体运动能力,降低其肌张力,改善其整体生活质量。
Objective To investigate the influence of acupoint massage combined with rehabilitation nursing on motor function and quality of life in patients with stroke paralysis. Methods All of 80 patients with stroke paralysis admitted to our hospital from September 2016 to May 2018 were selected and they were randomly divided into the two group,each group had 40 cases. The control group received the routine rehabilitation training, while the observation group received the acupoint massage combined with rehabilitation nursing. Then the muscle tension and plantar flexion angle,gross exercise function score and quality of life score after intervention were compared between the two groups. Results The muscle tension of the two groups after intervention was lower than that before intervention, and the plantar flexion angle was smaller than that before intervention(P<0.05), and the muscle tension of the observation group after intervention was lower than that of the control group, and the plantar flexion angle was smaller than that of the control group(P<0.05). The gross motor function score of the two groups after intervention was higher than that before intervention,and the quality of life score was lower than that before intervention(P<0.05). The gross motor function score of the observation group after intervention was higher than that of the control group, and the quality of life score was lower than that of the control group(P<0.05). Conclusion Acupoint massage combined with rehabilitation nursing applied in patients with stroke paralysis can can better improve their limb motor ability, reduce their muscle tension and improve their overall quality of life.
Objective To investigate the influence of acupoint massage combined with rehabilitation nursing on motor function and quality of life in patients with stroke paralysis. Methods All of 80 patients with stroke paralysis admitted to our hospital from September 2016 to May 2018 were selected and they were randomly divided into the two group,each group had 40 cases. The control group received the routine rehabilitation training, while the observation group received the acupoint massage combined with rehabilitation nursing. Then the muscle tension and plantar flexion angle,gross exercise function score and quality of life score after intervention were compared between the two groups. Results The muscle tension of the two groups after intervention was lower than that before intervention, and the plantar flexion angle was smaller than that before intervention(P<0.05), and the muscle tension of the observation group after intervention was lower than that of the control group, and the plantar flexion angle was smaller than that of the control group(P<0.05). The gross motor function score of the two groups after intervention was higher than that before intervention,and the quality of life score was lower than that before intervention(P<0.05). The gross motor function score of the observation group after intervention was higher than that of the control group, and the quality of life score was lower than that of the control group(P<0.05). Conclusion Acupoint massage combined with rehabilitation nursing applied in patients with stroke paralysis can can better improve their limb motor ability, reduce their muscle tension and improve their overall quality of life.
引文
[1]李慧.中医中药联合康复训练对脑卒中患者运动功能和生活质量的影响[J].中国疗养医学,2018,27(8):825-827.
[2]郭香凤,单敏,卓淑媛.康复护理联合针灸在脑出血术后后遗症患者康复中的效果[J].中国当代医药,2018,25(19):181-183.
[3]牛咏玲.评价中医康复护理对脑卒中恢复期偏瘫患者运动功能的影响[J].光明中医,2018,33(12):1810-1812.
[4]曹琳琳,卢甜甜.中医康复治疗及护理干预对小儿脑瘫疗效及预后的影响[J].全科护理,2018,16(16):1962-1963.
[5]唐波.综合康复训练结合中医辨证护理对脑梗死患者肢体运动功能、生活自理能力及生活质量影响[J].辽宁中医药大学学报,2018,20(7):167-170.
[6]沈小娟,季丽萍,汤美秀.规范化中医康复管理对颅脑损伤患者术后恢复质量的影响[J].湖南中医药大学学报,2018,38(5):596-600.
[7]徐叶玲.中西医结合康复护理在脑卒中瘫痪病人功能恢复中的运用价值[J].全科护理,2018,16(15):1837-1839.
[8]方芳.平衡舒筋手法结合中医护理对脑卒中康复期患者ADL能力影响[J].四川中医,2018,36(2):203-205.
[9]郑丽华.中医康复护理在脑梗死患者中的临床应用效果探究[J].基层医学论坛,2018,22(6):813-814.
[10]余敏,谭小金,古满虹,等.医院-社区-家庭中医康复护理技术对脑卒中老年患者的影响[J].护理实践与研究,2018,15(3):147-149.
[11]陈红霞,薛彬,赵杭娟.中医康复护理干预对脑卒中病人生活能力及神经功能的影响[J].光明中医,2018,33(2):280-282.
[12]柴华,程亚丽.中医康复护理干预对脑外伤患者术后功能恢复与社会支持度的影响[J].社区医学杂志,2017,15(21):69-70.
[13]李文苑.系统中医康复护理对早期中风偏瘫患者肢体功能恢复的影响分析[J].中医临床研究,2017,9(29):70-71.
[14]张丹,王芳,李敏,等.中医延续护理对提高脑卒中患者出院后生活能力和运动功能的应用研究[J].护理管理杂志,2017,17(8):548-550.
[15]朱素云,王应军.中西医结合护理对缺血性中风恢复期气虚血瘀症的疗效观察[J].中医药导报,2017,23(13):121-123.
[16]蔡桂云,徐涛容,赖春进.中医优质护理对急性脑卒中偏瘫患者康复的影响[J].护理实践与研究,2017,14(14):152-153.
[17]郭献密,覃勤,林琴.中医康复护理在脑卒中肢体功能障碍病人中的应用[J].全科护理,2017,15(9):1089-1091.
[18]钟小华,张晓艺,李丽娟,等.100例脑梗死患者应用中医康复护理效果观察[J].泰山医学院学报,2016,37(11):1253-1255.
[2]郭香凤,单敏,卓淑媛.康复护理联合针灸在脑出血术后后遗症患者康复中的效果[J].中国当代医药,2018,25(19):181-183.
[3]牛咏玲.评价中医康复护理对脑卒中恢复期偏瘫患者运动功能的影响[J].光明中医,2018,33(12):1810-1812.
[4]曹琳琳,卢甜甜.中医康复治疗及护理干预对小儿脑瘫疗效及预后的影响[J].全科护理,2018,16(16):1962-1963.
[5]唐波.综合康复训练结合中医辨证护理对脑梗死患者肢体运动功能、生活自理能力及生活质量影响[J].辽宁中医药大学学报,2018,20(7):167-170.
[6]沈小娟,季丽萍,汤美秀.规范化中医康复管理对颅脑损伤患者术后恢复质量的影响[J].湖南中医药大学学报,2018,38(5):596-600.
[7]徐叶玲.中西医结合康复护理在脑卒中瘫痪病人功能恢复中的运用价值[J].全科护理,2018,16(15):1837-1839.
[8]方芳.平衡舒筋手法结合中医护理对脑卒中康复期患者ADL能力影响[J].四川中医,2018,36(2):203-205.
[9]郑丽华.中医康复护理在脑梗死患者中的临床应用效果探究[J].基层医学论坛,2018,22(6):813-814.
[10]余敏,谭小金,古满虹,等.医院-社区-家庭中医康复护理技术对脑卒中老年患者的影响[J].护理实践与研究,2018,15(3):147-149.
[11]陈红霞,薛彬,赵杭娟.中医康复护理干预对脑卒中病人生活能力及神经功能的影响[J].光明中医,2018,33(2):280-282.
[12]柴华,程亚丽.中医康复护理干预对脑外伤患者术后功能恢复与社会支持度的影响[J].社区医学杂志,2017,15(21):69-70.
[13]李文苑.系统中医康复护理对早期中风偏瘫患者肢体功能恢复的影响分析[J].中医临床研究,2017,9(29):70-71.
[14]张丹,王芳,李敏,等.中医延续护理对提高脑卒中患者出院后生活能力和运动功能的应用研究[J].护理管理杂志,2017,17(8):548-550.
[15]朱素云,王应军.中西医结合护理对缺血性中风恢复期气虚血瘀症的疗效观察[J].中医药导报,2017,23(13):121-123.
[16]蔡桂云,徐涛容,赖春进.中医优质护理对急性脑卒中偏瘫患者康复的影响[J].护理实践与研究,2017,14(14):152-153.
[17]郭献密,覃勤,林琴.中医康复护理在脑卒中肢体功能障碍病人中的应用[J].全科护理,2017,15(9):1089-1091.
[18]钟小华,张晓艺,李丽娟,等.100例脑梗死患者应用中医康复护理效果观察[J].泰山医学院学报,2016,37(11):1253-1255.