首页|中药封包联合推拿对脑卒中后痉挛性偏瘫患者肢体功能和生活质量的影响

中药封包联合推拿对脑卒中后痉挛性偏瘫患者肢体功能和生活质量的影响

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目的:探究中药封包联合推拿对脑卒中后痉挛性偏瘫(SHAS)患者肢体功能和生活质量的影响.方法:研究对象为2020年8月~2023年7月本院收治的82例SHAS患者,按随机数字表法分成对照组(41例)和研究组(41例).对照组予以常规康复护理,研究组予以中药封包联合推拿+常规康复护理,时长为2周.比较两组中医证候积分、改良Ashworth(MAS)评分、肢体功能恢复情况[美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评定量表(FMA)、改良Barthel指数(MBI)]评分和脑卒中专用生活质量量表(SS-QOL)评分的差异.结果:干预后,两组神识昏蒙、半身不遂、口舌歪斜、言语不利、偏身感觉评分和次证总分均低于同组干预前,且研究组低于对照组(P<0.05);两组上下肢MAS、NIHSS评分均低于同组干预前,FMA、MBI评分均高于同组干预前,且研究组评分改善程度均优于对照组(P<0.05);两组SS-QOL量表中上肢功能、心情、自理、活动能力评分均高于同组干预前,且研究组均高于对照组(P<0.05).结论:中药封包联合推拿对SHAS患者的干预效果显著,能有效改善中医症状,缓解痉挛程度,减轻神经缺损程度,促进肢体功能和日常生活能力恢复,提高生活质量.
Effects of TCM packaging combined with massage on limb function and quality of life in patients with spastic hemi-plegia after stroke
Objective To explore the effects of TCM packaging combined with massage on limb function and quality of life in patients with spastic hemiplegia after stroke(SHAS).Methods A total of 82patients with SHAS admitted to the hospital were en-rolled as the research objects between August 2020and July 2023.According to random number table method,they were divided into control group(41cases)and study group(41cases).The control group was given routine rehabilitation nursing,while study group was given TCM packaging combined with massage on basis of control group for 2w.The scores of TCM syndromes,modified Ashworth scale(MAS),limb function recovery[National Institutes of Health Stroke Scale(NIHSS),the Fugl-Meyer motor as-sessment(FMA),modified Barthel index(MBI)]and stroke specific quality of life scale(SS-QOL)were compared between the two groups.Results After intervention,scores of TCM syndromes(unconsciousness,hemiplegia,deviation of mouth and tongue,stiff tongue,hemisensory)and total score of secondary syndromes were decreased in both groups,which were lower in study group than control group(P<0.05).After intervention,MAS scores of upper and lower limbs,and NIHSS scores were de-creased,while scores of FMA and MBI were increased in both groups,and improvement of the above scores was better in study group than control group(P<0.05).After intervention,scores of SS-QOL(upper limb function,emotion,self-care activity,ac-tivity of daily living)were increased in both groups,which were higher in study group than control group(P<0.05).Conclusion The intervention effect of TCM packaging combined with massage is significant in SHAS patients,which can effectively improve TCM symptoms,relieve spasm and nerve defects,promote the recovery of limb function and daily living ability,and improve quality of life.

TCM packagingMassageStrokeSpastic hemiplegiaLimb functionQuality of life

孙亚宇、蒋涛、王敏、陈飞

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安徽中医药大学第二附属医院推拿科,安徽合肥 230061

中药封包 推拿 脑卒中 痉挛性偏瘫 肢体功能 生活质量

省级中医优势特色专科建设项目(十四五)

皖中医药服务秘[2021]71号

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(5)
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