| 张洁.中医护理适宜技术对脑卒中痉挛性偏瘫患者下肢功能的影响[J].上海护理,2019,19(11): |
| 中医护理适宜技术对脑卒中痉挛性偏瘫患者下肢功能的影响 |
| Effect of TCM nursing appropriate technology on lower limb function of stroke patients with spastic hemiplegia |
| DOI： |
| 中文关键词: 适宜技术 护理 脑卒中 痉挛 |
| 英文关键词:Suitable technology nursing stroke spasm |
| 基金项目:上海中医药学科护理学科十三五发展规划科研招标立项 2016HLXK23，上海市护理学会科研课题 201640323 |
|
| 摘要点击次数: 2118 |
| 全文下载次数: 0 |
| 中文摘要: |
| 【摘要】目的 观察中医护理技术对改善脑卒中后下肢偏瘫痉挛状态、患者日常生活能力的情况及患者的肢体运动功能情况，给予卒中后遗症的偏瘫痉挛状态一种有效、的护理方法。 方法 本研究采用随机对照试验，将合符纳入标准的86例脑卒中后痉挛性偏瘫患者按照随机分配原则，分为43例中医护理技术组（治疗组）和43例常规护理组（对照组）。治疗组给予常规治疗包括控制血压、控制血糖，在此基础上给予中医护理技术（走罐、中药离子导入、砭石疗法和疏经通络操），对照组给予常规治疗以及常规护理。分别在治疗前、治疗后1个月及治疗后2个月（结束疗程），这三个时间段对两组患者的临床痉挛指数CSI、日常生活能力情况Ashworth量表(MAS)以及肢体的运动功能简化Fugl-Meyer量表（FMA）进行评定。结果 两组患者基线资料包括性别、年龄、疾病进程等以及治疗前患者的肢体运动功能、肢体痉挛状态、日常生活能力比较均无统计学意义（P>0.05）。疗程结束后对分别评定治疗组和对照组患者的上肢偏瘫痉挛状态、日常生活能力的情况，以及患者的肢体运动功能情况，两组患者的治疗前后和组间比较差异均有统计学意义（P＜0.05），说明两组治疗方法均有效，而且治疗组效果优于对照组。结论 中医护理技术能有效缓解患者脑卒中后偏瘫痉挛状态，比单一的治疗或护理手段更优，并具有良好的安全性，适于推广。 |
| 英文摘要: |
| [Abstract] Objective To observe the effect of TCM nursing on hemiplegic spasm of lower limbs after stroke, the condition of daily living ability and the function of limb movement in patients, and give an effective and effective nursing method for hemiplegic spasm of stroke sequelae. Methods In this study, 100 patients with spastic hemiplegia after stroke were divided into 43 cases of TCM Nursing Technology Group (treatment group) and 43 routine nursing group (control group). The treatment group was given routine treatment including controlling blood pressure and controlling blood sugar. On this basis, traditional Chinese medicine nursing technology was given (canister, iontophoresis of traditional Chinese medicine, stone needle therapy and dredging collaterals), and routine treatment and routine care in the control group. Before treatment, 1 months after treatment and 2 months after treatment (end of treatment), the clinical spasm index CSI, the daily living ability Ashworth scale (MAS) and the movement function simplified Fugl-Meyer scale (FMA) of the limbs were evaluated at the three time periods. Results The baseline data of the two groups included sex, age, disease process and so on, and there was no significant difference in limb movement function, limb spasticity and daily living ability of the patients before treatment (P>0.05). After the course of treatment, the hemiplegic spasm state of the upper limb, the daily living ability and the movement function of the patients were evaluated respectively. The differences of the two groups were statistically significant before and after the treatment (P < 0.05), indicating that the two groups of treatment were all effective and the treatment group was effective. The fruit is better than the control group. Conclusion The traditional Chinese medicine nursing technology can effectively relieve the hemiplegic spasticity after stroke, which is better than the single treatment or nursing means, and has good safety and is suitable for popularization. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
