首页|康复护理联合穴位按摩与穴位贴敷在脑卒中患者中的应用效果及对Barthel指数、NIHSS评分的影响

康复护理联合穴位按摩与穴位贴敷在脑卒中患者中的应用效果及对Barthel指数、NIHSS评分的影响

Application effect of rehabilitation nursing combined with acupoint massage and acupoint patching in stroke patients and its influences on Barthel index and NIHSS score

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目的 探讨康复护理联合穴位按摩与穴位贴敷在脑卒中患者中的应用效果及对Barthel指数、美国国立卫生研究院卒中量表(NIHSS)评分的影响.方法 选取2019 年7 月至2022 年7 月收治的150 例脑卒中患者为研究对象,按随机数字表法将其分为对照组(75 例,康复护理)和观察组(75 例,在对照组基础上予以穴位按摩与穴位贴敷).比较两组的干预效果.结果 干预后,观察组的环磷酸鸟苷(cGMP)水平高于对照组,环磷酸腺苷(cAMP)水平低于对照组(P<0.05).干预后,观察组的上肢、下肢肌力评分高于对照组(P<0.05).干预后,观察组的Fugl-Meyer运动功能评定量表(FMA)上肢、下肢评分高于对照组(P<0.05).干预后,观察组的Barthel指数评分高于对照组,NIHSS评分低于对照组(P<0.05).结论 康复护理联合穴位按摩与穴位贴敷可有效改善脑卒中患者的cGMP、cAMP水平及神经功能,提升肢体肌力,提高日常生活活动能力.
Objective To explore the application effect of rehabilitation nursing combined with acupoint massage and acupoint patching in stroke patients and its influences on Barthel index and the National Institutes of Health Stroke Scale(NIHSS)score.Methods A total of 150 stroke patients who were treated from July 2019 to July 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group(75 cases,rehabilitation nursing)and observation group(75 cases,acupoint massage and acupoint patching on the basis of the control group).The intervention effects of the two groups were compared.Results After intervention,the level of cyclic guanosine monophosphate(cGMP)in the observation group was higher than that in the control group,and the level of cyclic adenosine monophosphate(cAMP)was lower than that in the control group(P<0.05).After intervention,the upper limb and lower limb muscle strength scores of the observation group were higher than those of the control group(P<0.05).After intervention,the scores of upper limb and lower limb of Fugl-Meyer Motor Function Assessment(FMA)in the observation group were higher than those in the control group(P<0.05).After intervention,the Barthel index score of the observation group was higher than that of the control group,and the NIHSS score was lower than that of the control group(P<0.05).Conclusion Rehabilitation nursing combined with acupoint massage and acupoint patching can effectively improve the levels of cGMP,cAMP and neurological function of stroke patients,elevate limb muscle strength and improve the activity of daily living.

strokerehabilitation nursingacupoint massageacupoint patchingactivity of daily livingneurological function

陈复娜、王开娜、邹婕、王真

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西安市中医医院脑病科,陕西 西安,710021

西安交通大学第二附属医院康复医学科,陕西 西安,710004

脑卒中 康复护理 穴位按摩 穴位贴敷 日常生活活动能力 神经功能

陕西省重点研发计划

2022ZL-SF-047

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(17)