首页|中医定向透药疗法配合穴位按摩对脑卒中恢复期患者肢体功能及生活质量的影响

中医定向透药疗法配合穴位按摩对脑卒中恢复期患者肢体功能及生活质量的影响

Effects of traditional Chinese medicine directional penetration therapy combined with acupoint massage on limb function and quality of life in patients with stroke recovery

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目的 探讨中医定向透药疗法配合穴位按摩对脑卒中恢复期患者功能恢复情况及生活质量的影响.方法 按照1:1原则和随机数字表法将我院2020 年 1月至 2022 年10 月收治的 108 例脑卒中恢复期患者分为对照组和联合组,各 54 例.两组均接受常规西医治疗,对照组给予常规护理,联合组在常规护理基础上给予中医定向透药疗法+穴位按摩.比较两组的干预效果.结果 干预4周后,两组的美国国立卫生研究院卒中量表(NIHSS)评分均低于干预前,且联合组低于对照组(P<0.05).干预4周后,两组的Berg平衡量表(BBS)、Fugl-Meyer运动功能评定量表(FMA)、改良Barthel指数(MBI)及修订版跌倒效能量表(MFES)评分均高于干预前,且联合组高于对照组(P<0.05).干预 4周后,两组的状态-特质焦虑问卷(STAI)、多维度疲乏量表(MFI-20)评分均低于干预前,且联合组低于对照组(P<0.05).联合组的护理满意度为 88.89%,高于对照组的74.07%(P<0.05).结论 中医定向透药疗法配合穴位按摩能促进脑卒中恢复期患者神经功能恢复,改善肢体功能,减轻心理应激,缓解疲劳程度,提高生活质量.
Objective To explore the effects of traditional Chinese medicine directional penetration therapy combined with acupoint massage on limb function and quality of life in patients with stroke recovery.Methods According to the principle of 1:1 and random number table method,108 patients with stroke recovery admitted in our hospital from January 2020 to October 2022 were divided into control group and combined group,with 54 cases in each group.Both groups received routine western medicine treatment,the control group was given routine nursing,and the combined group was given traditional Chinese medicine directional penetration therapy+acupoint massage on the basis of routine nursing.The intervention effects of the two groups were compared.Results After 4 weeks of intervention,the National Institute of Health Stroke Scale(NIHSS)score of the two groups was lower than that before intervention,and the combined group was lower than the control group(P<0.05).After 4 weeks of intervention,the scores of Berg Balance Scale(BBS),Fugl-Meyer Assessment(FMA),Modified Barthel Index(MBI)and Modified Fall Efficacy Scale(MFES)in the two groups were higher than those before intervention,and those in the combined group were higher than the control group(P<0.05).After 4 weeks of intervention,the scores of State-Trait Anxiety Inventory(STAI)and Multidimensional Fatigue Inventory-20(MFI-20)in the two groups were lower than those before intervention,and those in the combined group were lower than the control group(P<0.05).The nursing satisfaction of the combined group was 88.89%,which was higher than 74.07%of the control group(P<0.05).Conclusion Traditional Chinese medicine directional penetration therapy combined with acupoint massage can promote the recovery of neurological function,improve limb function,reduce psychological stress,relieve fatigue and enhance quality of life in patients with stroke recovery.

acupoint massagetraditional Chinese medicine directional penetration therapystroke recoveryquality of life

赵静娟

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开封市人民医院中医科,河南 开封,475000

穴位按摩 中医定向透药疗法 脑卒中恢复期 生活质量

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(18)