首页|中医针灸与按摩干预对高血压脑出血行手术治疗患者术后神经功能及日常生活能力的影响

中医针灸与按摩干预对高血压脑出血行手术治疗患者术后神经功能及日常生活能力的影响

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目的 探讨中医针灸与按摩干预对高血压脑出血行手术治疗患者术后神经功能及日常生活能力的影响。方法 选取2020 年 6月至 2022 年 6 月在本院接受手术治疗的 90 例高血压脑出血患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组45 例。对照组术后行常规干预,观察组在对照组基础上展开中医针灸与按摩干预。比较两组的干预效果。结果 干预后,观察组的神志障碍、偏身感觉障碍、言语不利及头痛眩晕评分低于对照组(P<0。05)。干预后,观察组的S100 钙结合蛋白B(S100B)、神经元特异性烯醇化酶(NSE)水平低于对照组(P<0。05)。干预后,观察组的美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,简易精神状态量表(MMSE)、Fugl-Meyer运动功能评分量表(FMA)及日常生活能力量表(ADL)评分高于对照组(P<0。05)。结论 中医针灸与按摩应用于高血压脑出血行手术治疗患者中可有效改善其中医症状及血清学指标,并提升神经功能与认知功能,进一步改善运动功能与日常生活能力。
Efects of traditional Chinese medicine acupuncture and moxibustion and massage intervention on postoperative neurological function and daily living ability of patients with hypertensive cerebral hemorrhage undergoing surgery treatment
Objective To explore the effects of traditional Chinese medicine acupuncture and moxibustion and massage intervention on postoperative neurological function and daily living ability of patients with hypertensive cerebral hemorrhage undergoing surgery treatment.Methods A total of 90 patients with hypertensive cerebral hemorrhage who underwent surgery treatment in our hospital from June 2020 to June 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 45 cases in each group.The control group was given routine intervention after operation,and the observation group was given traditional Chinese medicine acupuncture and moxibustion and massage intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of mental disorder,hemidysesthesia,speech disorder,headache and vertigo in the observation group were lower than those in the control group(P<0.05).After intervention,the levels of S100 calcium-binding protein B(S100 B)and neuron-specific enolase(NSE)in the observation group were lower than those in the control group(P<0.05).After intervention,the National Institute of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the scores of Mini-Mental State Examination(MMSE),Fugl-Meyer Assessment Scale(FMA)and Activities of Daily Living(ADL)were higher than those of the control group(P<0.05).Conclusion The traditional Chinese medicine acupuncture and moxibustion and massage applied in patients with hypertensive cerebral hemorrhage can effectively improve TCM symptoms and serological indicators,improve neurological function and cognitive function,and further improve motor function and daily living ability.

traditional Chinese medicine acupuncture and moxibustionmassagehypertensive cerebral hemorrhageneurological functiondaily living ability

汪婷、蔡青春、冯琴、闫亚维、程美玲

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西安大兴医院,陕西 西安,710016

西安中医脑病医院,陕西 西安,710032

中国人民解放军空军军医大学第一附属医院/西京医院,陕西 西安,710032

中医针灸 按摩 高血压脑出血 神经功能 日常生活能力

陕西省重点研发计划

S2020-YF-YBSF-0350

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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