摘要
目的探讨肩手综合征(SHS)Ⅰ期中医康复护理技术方案在脑卒中康复期患者中的应用效果。方法选取于我院脑病科及针灸科住院的SHSⅠ期患者93例,按照随机数字表法分为试验组(46例,中医常规护理+SHSⅠ期中医康复护理)和对照组(47例,中医常规护理)。比较两组护理前及护理后2、4周的患肢关节疼痛情况、上肢运动功能情况、生活自理能力。分析两组护理期间的不良事件及处理结果。结果护理后2、4周,两组患者的VAS评分均降低(P<0.05);护理后4周,试验组的VAS评分明显低于对照组(P<0.05)。护理后2、4周,两组患者的上肢运动功能评分均升高(P<0.05);护理后4周,试验组的上肢运动功能评分明显高于对照组(P<0.05)。护理后2、4周,两组患者的Barthel指数评分均升高(P<0.05)。试验组1名患者热敷时出现烫伤,立即给予75%酒精局部湿敷10 min,潮红于当天消退。结论SHSⅠ期中医康复护理技术方案在脑卒中康复期患者中的应用效果显著,能够有效减轻患者疼痛,促进患者上肢功能恢复。
Objective To analyze the application effect of TCM rehabilitation nursing technical scheme of shoulder-hand syndrome(SHS)Ⅰperiod in the rehabilitation period of apoplexy patients.Methods A total of 93 patients with SHSⅠperiod admitted in encephalopathy department and acupuncture department of our hospital were divided into experimental group(46 cases,TCM convention nursing+rehabilitation nursing of SHSⅠperiod)and control group(47 cases,TCM convention nursing)according to the random number table.The joint pain of the affected limb,motor function of upper limb and self-care ability of the two groups were compared before and 2 or 4 weeks after nursing.The adverse events and processing result of the two groups were analyzed.Results After 2 weeks and 4 weeks of nursing,the VAS score in the two groups decreased(P<0.05);after 4 weeks of nursing,the VAS score in the experimental group was significantly lower than that in the control group(P<0.05).After 2 weeks and 4 weeks of nursing,the scores of motor function of upper limb in the two groups increased(P<0.05);after 4 weeks of nursing,the score of motor function of upper limb in the experimental group was significantly higher than that in the control group(P<0.05).After 2 weeks and 4 weeks of nursing,the Barthel index score in the two groups increased(P<0.05).One patient in the experimental group suffered from scald during hot compress,and was immediately given 75%alcohol for local wet compress for 10 minutes,and the flush subsided on the same day.Conclusion TCM rehabilitation nursing technical scheme of SHSⅠperiod in the rehabilitation period of apoplexy patients has a significant application effect,it can effectively reduce the pain of patients and promote the recovery of upper limb function.
作者
陈鸿芳
戴蒙
CHEN Hong-fang;DAI Meng(Shaanxi Traditional Chinese Medicine Hospital,Xi'an 710003,China)
出处
《临床医学研究与实践》
2020年第11期143-144,150,共3页
Clinical Research and Practice
基金
陕西中医药管理局中医药科研课题(No.15-LC021)。
关键词
卒中
肩手综合征
中医康复护理
apoplexy
shoulder-hand syndrome
TCM rehabilitation nursing
