首页|循手阳明经铜灸联合八邪操在风痰阻络型中风合并上肢偏瘫患者中的应用效果

循手阳明经铜灸联合八邪操在风痰阻络型中风合并上肢偏瘫患者中的应用效果

扫码查看
目的 探究循手阳明经铜灸联合八邪操在风痰阻络型中风合并上肢偏瘫患者中的应用效果.方法 选取2023年4月至12月江苏省海安市中医院神经外科接收的60例风痰阻络型中风合并上肢偏瘫患者作为观察对象,将其以01~60顺序编号,单数为对照组、双数为干预组,各30例.对照组实施常规循手阳明经铜灸中医护理措施,干预组实施循手阳明经铜灸联合八邪操中医护理措施,7 d为1个疗程,两组连续治疗4个疗程.于干预前、干预4周后,对两组中医症候积分、运动功能及关节活动度进行比较.结果 干预前,两组瘫痪、身与不足、肌力中医症候积分比较,差异无统计学意义(P>0.05);干预4周后,两组瘫痪、身与不足、肌力中医症候积分较干预前降低,且干预组低于对照组,差异有统计学意义(P<0.05).干预前,两组上肢功能评分、下肢功能评分及肢体功能总分比较,差异无统计学意义(P>0.05);干预4周后,两组上肢功能评分、下肢功能评分及肢体功能总分较干预前升高,且干预组高于对照组,差异有统计学意义(P<0.05).干预前,两组肩关节、肘关节、指关节、腕关节活动度比较,差异无统计学意义(P>0.05);干预4周后,两组肩关节、肘关节、指关节、腕关节活动度较干预前升高,且干预组高于对照组,差异有统计学意义(P<0.05).结论 循手阳明经铜灸联合八邪操锻炼有助于改善风痰阻络型中风合并上肢偏瘫患者中医症候积分,促使各项功能康复,提高关节活动度.
Application effect of along the hand yangming meridian copper moxibus-tion combined with the eight evil exercises in patients with wind and phlegm blocking collaterals type stroke combined with upper limb hemi-paresis
Objective To explore the application effect of along the hand yangming meridian copper moxibustion combined with the eight evil ex-ercises in patients with wind and phlegm blocking collaterals type stroke combined with upper limb hemiparesis.Methods A total of 60 patients with wind and phlegm blocking collaterals type stroke complicated with upper limb hemiplegia received from the Department of Neurosurgery,Ha-ian Hospital of Traditional Chinese Medicine from April to December 2023 were selected as the observation objects,and they were numbered in the order of 01-60,with the odd number as the control group and the even number as the intervention group,with 30 cases in each group.The control group was treated with conventional traditional Chinese medicine nursing measures of along the hand yangming meridian copper moxibustion,and the intervention group was treated with traditional Chinese medicine nursing measures of along the hand yangming meridian copper moxibustion combined with eight evil exercises,seven days as a course of treatment,and the two groups were treated for four consecutive courses.Before inter-vention and four weeks after intervention,traditional Chinese medicine syndrome score,motor function,and joint motion were compared between the two groups.Results Before intervention,there was no significant difference in the scores of traditional Chinese medicine symptoms of paralysis,physical insufficiency,and muscle strength between the two groups(P>0.05).After four weeks of intervention,the scores of traditional Chinese medicine symptoms of paralysis,physical deficiency,and muscle strength in the two groups were lower than before intervention,and those in the in-tervention were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no sig-nificant difference in upper limb function score,lower limb function score,and total limb function score between the two groups(P>0.05).After four weeks of intervention,the upper limb function score,lower limb function score,and total limb function score of the two groups were higher than before intervention,and those in the intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in mobility of shoulder joint,elbow joint,finger joint,and wrist joint between the two groups(P>0.05).After four weeks of intervention,the mobility of shoulder joint,elbow joint,finger joint,and wrist joint in two groups were higher than before intervention,and those in the intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The along the hand yangming meridian copper moxibustion combined with the eight evil exercises can improve the tradi-tional Chinese medicine syndrome score of wind and phlegm blocking collaterals type stroke patients with upper limb hemiplegia,promote the reha-bilitation of various functions,and improve the range of joint motion.

StrokeWind and phlegm blocking collaterals typeUpper limb hemiplegiaAlong the hand yangming meridian copper moxibustionEight evil exercisesTraditional Chinese medicine syndrome scoreFeaturesJoint range of motion

顾玉洁、康群、江静

展开 >

江苏省海安市中医院神经外科,江苏海安 226600

江苏省海安市中医院护理部,江苏海安 226600

江苏省海安市中医院门诊,江苏海安 226600

中风 风痰阻络型 上肢偏瘫 循手阳明经铜灸 八邪操 中医证候积分 功能 关节活动度

江苏省中医药科研计划项目

MS2021012

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
  • 23