首页|十宣放血联合中药熏洗在中风后肢体功能障碍患者中的应用效果

十宣放血联合中药熏洗在中风后肢体功能障碍患者中的应用效果

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目的 分析十宣放血联合中药熏洗在中风后肢体功能障碍患者中的应用效果.方法 选取 2021 年 1 月—2023 年 7月湛江市第二中医医院收治的 70 例中风后肢体功能障碍患者为研究对象,按随机数字表法将其分为对照组及观察组,每组35 例.对照组行常规锻炼,观察组在此基础上采用十宣放血联合中药熏洗,均持续护理 8 周.对比两组患者的神经功能、肢体功能、日常生活能力及生活质量.结果 护理后,观察组的美国国立卫生研究院卒中量表评分为(10.27±1.02)分,低于对照组的(14.36±1.59)分,差异有统计学意义(P﹤0.05);观察组的Fugl-Meyer运动功能量表中上肢、下肢运动功能评分分别为(49.88±4.31)分、(26.33±2.89)分,均高于对照组的(42.31±3.57)分、(20.54±2.01)分,组间差异有统计学意义(P﹤0.05);观察组的日常生活能力量表评分为(79.63±5.01)分,高于对照组的(70.43±4.22)分,差异有统计学意义(P﹤0.05);观察组的生活质量综合评定问卷中各个维度评分分别为(76.79±4.15)分、(78.49±3.83)分、(76.59±3.83)分、(78.97±5.23)分,均高于对照组的(69.88±3.21)分、(70.53±3.20)分、(67.83±3.15)分、(72.48±4.36)分,组间差异有统计学意义(P﹤0.05).结论 十宣放血联合中药熏洗能减轻中风后肢体功能障碍患者的神经功能损伤,加快肢体功能恢复,提升日常生活能力,提高其生活质量,临床可推广使用.
Application Effect of Shixuan Bloodletting Combined with Traditional Chinese Medicine Fumigation and Washing in Patients with Poststroke Limb Dysfunction
Objective To analyze the effect of Shixuan bloodletting combined with traditional Chinese medicine fumigation and washing in patients with limb dysfunction after stroke.Methods 70 patients with limb dysfunction after stroke treated in the Second Hospital of Traditional Chinese Medicine of Zhanjiang from January 2021 to July 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group received routine exercise,and the observation group received Shixuan bloodletting combined with traditional Chinese medicine fumigation and washing on this basis.Both groups received continuous nursing for 8 weeks.The neurological function,limb function,daily living ability and quality of life were compared between the two groups.Results After nursing,the National Institutes of Health stroke scale score of the observation group was(10.27±1.02)points,which was lower than(14.36±1.59)points of the control group,and the difference was statistically significant(P﹤0.05);the motor function scores of upper limb and lower limb in Fugl-Meyer assessment of the observation group were(49.88±4.31)points and(26.33±2.89)points,respectively,which were higher than(42.31±3.57)points and(20.54±2.01)points of the control group,the differences between the groups were statistically significant(P﹤0.05);the activities of daily living score of the observation group was(79.63±5.01)points,which was higher than(70.43±4.22)points of the control group,and the difference was statistically significant(P﹤0.05);the generic quality of life inventory-74 scores in the observation group were(76.79±4.15)points,(78.49±3.83)points,(76.59±3.83)points,(78.97±5.23)points,respectively,which were higher than (69.88±3.21) points, (70.53±3.20) points, (67.83±3.15) points and (72.48±4.36) points in the control group, and the differences between the groups were statistically significant (P﹤0.05). Conclusion Shixuan bloodletting combined with traditional Chinese medicine fumigation and washing can reduce the nerve function injury of patients with limb dysfunction after stroke, speed up the recovery of limb function, improve the ability of daily life and improve their quality of life, and can be widely used in clinic.

StrokeLimb dysfunctionShixuan bloodlettingTraditional Chinese medicine fumigation and washingQuality of life

尹光丽、黎爱萍、肖丽清

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湛江市第二中医医院针灸康复科,广东湛江 524003

中风 肢体功能障碍 十宣放血 中药熏洗 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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