首页|快速康复护理联合中药热敷与穴位注射对下肢肢体乏力患者的治疗效果观察

快速康复护理联合中药热敷与穴位注射对下肢肢体乏力患者的治疗效果观察

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目的 探讨快速康复护理联合中药热敷与穴位注射对下肢肢体乏力患者的治疗效果。方法 100例下肢肢体乏力患者作为研究对象,使用随机数字表法进行编号,单数者纳入中医组,双数者纳入对照组,每组 50 例。两组患者均接受快速康复护理干预,中医组患者在此基础上联合中药热敷与穴位注射干预。比较两组患者下肢肢体肌力改善情况、日常生活质量以及并发症发生率。结果 中医组等长收缩、等长收缩/体重、等速收缩、等速收缩/体重、5次坐立实验(FTSST)和6 min步行距离(6MWD)分别为(99。34±12。83)N·m、(1。62±0。21)N·m/kg、(86。64±10。28)N·m、(1。23±0。10)N·m/kg、(6。12±0。84)s、(563。24±58。74)m,对照组分别为(82。34±8。73)N·m、(1。54±0。22)N·m/kg、(72。34±6。83)N·m、(1。02±0。11)N·m/kg、(7。54±1。02)s、(447。57±48。06)m。两组患者等长收缩/体重比较差异没有统计学意义(P>0。05);中医组患者等长收缩、等速收缩、等速收缩/体重、FTSST和 6MWD均优于对照组,差异有统计学意义(P<0。05)。中医组患者严重及以上功能缺陷发生率为 10。00%,低于对照组 28。00%,差异有统计学意义(P<0。05)。疗程结束后,中医组患者并发症发生率为 10。00%,高于对照组的 8。00%,但差异没有统计学意义(P>0。05)。结论 对下肢肌力≤4级的患者进行快速康复护理联合中药热敷与穴位注射干预,能够有效改善下肢肢体乏力症状,增加肌力,且不会增加并发症的风险,安全性较高,具有一定的社会卫生学和临床价值,值得推广。
Observation on the effect of rapid rehabilitation nursing combined with traditional Chinese medicine hot compress and acupoint injection on patients with lower limb asthenia
Objective To explore the effect of rapid rehabilitation nursing combined with traditional Chinese medicine hot compress and acupoint injection on patients with lower limb asthenia.Methods 100 cases of lower limb asthenia patients were selected as the research subjects,and were numbered by random number table method,with odd numbered cases into the control group and even numbered cases into the traditional Chinese medicine group,each with 50 cases.The patients in both groups received rapid rehabilitation nursing intervention,and the patients in the traditional Chinese medicine group received hot compress and acupoint injection intervention on this basis.The improvement of lower limb muscle strength,quality of daily life and the incidence of complications were compared between the two groups.Results The isometric contraction,isometric contraction/body weight,isokinetic contraction,isokinetic contraction/body weight,five-times-sit-to-stand test(FTSST)and 6-min walking distance(6MWD)in the traditional Chinese medicine group were(99.34±12.83)N·m,(1.62±0.21)N·m/kg,(86.64±10.28)N·m,(1.23±0.10)N·m/kg,(6.12±0.84)s and(563.24±58.74)m,and those in the control group were(82.34±8.73)N·m,(1.54±0.22)N·m/kg,(72.34±6.83)N·m,(1.02±0.11)N·m/kg,(7.54±1.02)s and(447.57±48.06)m.There was no significant difference in isometric contraction/body weight between the two groups(P>0.05).The isometric contraction,isokinetic contraction,isokinetic contraction/body weight,FTSST and 6MWD in the traditional Chinese medicine group were better than those in the control group,and the difference was statistically significant(P<0.05).The incidence of severe or above functional defects in the traditional Chinese medicine group group was 10.00%,which was lower than 28.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the complication rate of the traditional Chinese medicine group was 10.00%,which was higher than 8.00%of the control group,but the difference was not statistically significant(P>0.05).Conclusion Rapid rehabilitation nursing combined with traditional Chinese medicine hot compress and acupoint injection intervention for patients with lower limb muscle strength≤grade 4 can effectively improve the symptoms of lower limb fatigue,increase muscle strength,and will not increase the risk of complications.It is safe and has a certain social hygiene and clinical value,which is worth promoting.

Rapid rehabilitation nursingRapid rehabilitation nursingAcupoint injectionLower limb astheniMuscle strength

梁楚炜

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527200 罗定市中医院骨三科

快速康复护理 中药热敷 穴位注射 下肢肢体乏力 肌力

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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