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(1)
[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、Fugl-Meyer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。
[关键词] 中药熏洗；中医康复护理；脑卒中；偏瘫；肢体功能
[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701(2018)27-0156-03
[Abstract] 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.
[Key words] Chinese medicine fumigation；Rehabilitation nursing of traditional Chinese medicine；Stroke；Hemiplegia； Limb function
腦血管病又称为脑血管意外或者脑卒中，是指脑血管破裂出血或者血栓形成，引起的以脑部出血性或者缺血性损伤症状为主要临床表现的一组疾病。脑血管疾病起病急促，出现局灶神经功能缺损为特征，急性发作，出现口歪眼斜、抽搐、失语等，严重者还会出现意识障碍，肢体偏瘫，具有较高的致残性与致死性。中医将脑血管疾病称为“卒中”，由于气血逆乱上犯于脑而致病，患者可导致半身不遂。脑卒中的康复目标是增强患者肢体功能，增强自理能力，预防和治疗并发症，改善生活质量，促进患者重返社会[1，2]。中医护理讲究护病求本，以平为期，知常达变，因势利导[3]。中药熏洗、按摩、针灸等是常用的中医护理技术。本研究将中药熏洗与康复护理用于中风后偏瘫肢体功能的护理。现报道如下。, 百拇医药(陈贤 刘京 袁军 张素钊 范少希 郝杰 王佳)
[关键词] 中药熏洗；中医康复护理；脑卒中；偏瘫；肢体功能
[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701(2018)27-0156-03
[Abstract] 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.
[Key words] Chinese medicine fumigation；Rehabilitation nursing of traditional Chinese medicine；Stroke；Hemiplegia； Limb function
腦血管病又称为脑血管意外或者脑卒中，是指脑血管破裂出血或者血栓形成，引起的以脑部出血性或者缺血性损伤症状为主要临床表现的一组疾病。脑血管疾病起病急促，出现局灶神经功能缺损为特征，急性发作，出现口歪眼斜、抽搐、失语等，严重者还会出现意识障碍，肢体偏瘫，具有较高的致残性与致死性。中医将脑血管疾病称为“卒中”，由于气血逆乱上犯于脑而致病，患者可导致半身不遂。脑卒中的康复目标是增强患者肢体功能，增强自理能力，预防和治疗并发症，改善生活质量，促进患者重返社会[1，2]。中医护理讲究护病求本，以平为期，知常达变，因势利导[3]。中药熏洗、按摩、针灸等是常用的中医护理技术。本研究将中药熏洗与康复护理用于中风后偏瘫肢体功能的护理。现报道如下。, 百拇医药(陈贤 刘京 袁军 张素钊 范少希 郝杰 王佳)