首页|徐而和砭法联合抗痉挛模式护理在脑卒中后痉挛性偏瘫中的应用效果

徐而和砭法联合抗痉挛模式护理在脑卒中后痉挛性偏瘫中的应用效果

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目的 探讨徐而和砭法联合抗痉挛模式护理在脑卒中后痉挛性偏瘫中的应用效果。方法 选取2022年3月—12月安徽中医药大学第二附属医院60例脑卒中后痉挛性偏瘫患者,随机分为常规组与徐而和组各30例。常规组给予常规治疗和护理并采用抗痉挛护理;徐而和组在常规组基础上加用徐而和手法的铜砭刮痧进行干预,两组均干预2周。干预前及干预后采用Fugl-Meyer运动功能评定量表(FMA)评估运动功能,采用改良Ashworth量表(MAS)评估肌张力,采用改良Barthel指数评估日常生活活动能力,采用中文版脑卒中专用生活质量量表(SS-QOL)评估生活质量。结果 干预后,徐而和组FMA得分较常规组高,下肢痉挛改善程度较常规组优,Barthel指数评分较常规组高,SS-QOL量表各维度评分较常规组高(P均<0。05)。结论 徐而和砭法联合抗痉挛模式护理可改善脑卒中后痉挛性偏瘫患者的肌张力,增强运动功能,提高日常生活能力。
Observation on the effect of Xuerhebian combined with antispasmodic mode nursing in spastic hemiplegia after stroke
Objective To investigate the effect of Xuerhebian combined with antispasmodic mode nursing on spastic hemiplegia after stroke.Methods A total of 60 patients with spastic hemiplegia after stroke in the Second Affiliated Hos-pital of Anhui University of Chinese Medicine from March to December 2022 were randomly divided into conventional group and Xu Erhe group with 30 patients in each group.The conventional group was given routine treatment and nursing and anti-spasticity nursing.On the basis of the conventional group,Xu Erhe group was treated with Tongbian Guasha by Xu Erhe technique,both groups were treated for 2 weeks.Before and after intervention,the Fugl-Meyer Motor Function Rating Scale(FMA)was used to assess motor function,the modified Ashworth Scale(MAS)was used to assess muscle tone,the modified Barthel index was used to assess activities of daily living,and the Chinese version of the Stroke Specific Quality of Life Scale(SS-QOL)was used to assess the quality of life.Results After intervention,the FMA score,the im-provement degree of lower extremity spasm,the Barthel index score and the SS-QOL scale score were higher than the con-ventional group(all P<0.05).Conclusion Xuerhebian combined with antispasmodic nursing can improve the muscle tone,motor function and daily living ability of patients with spastic hemiplegia after stroke.

strokelimb spasmsXu Erhe techniqueTongbian Guasha therapyantispasticity model

樊雅玲、尤敏、刘艺、王婷

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安徽中医药大学护理学院,安徽合肥 230012

安徽中医药大学第二附属医院护理部,安徽合肥 230031

脑卒中 肢体痉挛 徐而和手法 铜砭刮痧疗法 抗痉挛模式

安徽省高等学校科研项目

2023AH050857

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(4)