摘要
目的探讨中风后偏瘫患者采用中医辨证护理联合核心稳定性康复训练的临床效果.方法选取该院2019年1月—2021年1月收治的70例中风后偏瘫患者为研究对象,按照随机数字表法分为对照组与研究组,每组35例.对照组采用常规护理联合核心稳定性康复训练进行干预,研究组采用中医辨证护理联合核心稳定性康复训练进行干预,两组均干预3个月.比较干预前、干预3个月两组的肢体运动功能、平衡功能、日常生活能力及神经功能.结果干预前,两组的简式Fugl-Meyer运动功能评估量表(Fug1-meyer motor assessment,FMA)评分、Berg平衡量表(Berg balance scale,BBS)评分比较,差异无统计学意义(P>0.05);干预3个月,两组的上肢及下肢FMA、BBS评分均高于干预前,且研究组的上述评分高于对照组,组间差异有统计学意义(P<0.05).干预前,两组的改良Barthel指数(modified Barthel index,MBI)评分及美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)评分比较,差异无统计学意义(P>0.05);干预3个月,两组的MBI评分、NIHSS评分均优于干预前,且研究组的MBI评分高于对照组,NIHSS评分低于对照组,组间差异有统计学意义(P<0.05).结论中医辨证护理联合核心稳定性康复训练可有效改善中风后偏瘫患者的神经功能,促进其肢体运动功能及平衡功能恢复,提高患者的日常生活能力,促进病情康复.
Objective To explore the clinical effect of dialectical nursing of traditional Chinese medicine combined with core stability training in patients with post-stroke hemiplegia.Methods The 70 patients with post-stroke paraplegia admitted to the hospital from January 2019 to January 2021 were selected as the subjects,and were divided into a control group and a study group according to the random number table method,with 35 cases in each group.The control group was intervened by routine nursing combined with core stability rehabilitation training,and the study group was intervened by dialectical nursing of traditional Chinese medicine combined with core stability rehabilitation training,both groups were intervened for 3 months.To compare the limb motor function,balance function,daily living ability and neurological function between the two groups before and at 3 months of the intervention.Results Before the intervention,there was no statistically significant difference in the scores of the Fugl-Meyer motor assessment(FMA)and the Berg balance scale(BBS)between the two groups(P>0.05);at 3 months of intervention,the upper and lower limb FMA and BBS scores in both groups were higher than before the intervention,and the above scores in the study group were higher than those in the control group,with statistically significant differences between the groups(P<0.05).Before the intervention,the modified Barthel index(MBI)scores and the National Institutes of Health stroke scale(NIHSS)scores of the two groups were not statistically significant;at 3 months of intervention,the MBI scores and NIHSS scores of both groups were better than before the intervention,and the MBI scores of the study group was higher than that of the control group and the NIHSS scores was lower than that of the control group,with statistically significant differences between the groups(P<0.05).Conclusion Dialectical nursing of traditional Chinese medicine combined with core stability rehabilitation training can effectively improve the neurological function
作者
徐金环
XU Jinhuan(Department of Traditional Chinese Medicine,Zibo Hospital of Shandong Guoxin Yiyang Group,Zibo Shandong,255120,China)
出处
《反射疗法与康复医学》
2021年第18期66-69,共4页
Reflexology And Rehabilitation Medicine
关键词
中风后偏瘫
中医辨证护理
核心稳定性康复训练
肢体运动功能
平衡功能
神经功能
Post-stroke hemiplegia
Dialectical nursing of traditional Chinese medicine
Core stability rehabilitation training
Limb motor function
Balance function
Neurological function
