穴位按摩配合溶栓治疗急性脑梗死患者肢体功能障碍的效果  

Effects of acupressure combined with thrombolysis on limbs disturbance of acute cerebral infarction patients

作　　者：乔宝红[1] 王玉婵[1] 陈春萍[1] 许根荣 张英姿[1] 杨松柏[1] 李正秋[1] 刘杰[1] 裴树亮[1] 刘方[1] 周秀玲[1] 张辰浩[1] 

机构地区：[1]中国中医科学院望京医院急诊科,北京100102

出　　处：《中华现代护理杂志》2015年第28期3398-3401,共4页Chinese Journal of Modern Nursing

摘　　要：目的 研究穴位按摩对急性脑梗死静脉溶栓术后的肢体功能的改善. 方法 采用随机对照研究,收集2011年1月—2014年6月就诊于中国中医科学院望京医院内科急诊的急性脑梗死静脉溶栓术后患者71例,采用随机数字表法分为两组,对照组32例给予常规护理,穴位按摩组39例在常规护理的基础上联合穴位按摩. 在治疗前后用NIHSS评分、Barthel指数评定表及成人握力评定标准对疗效进行评价. 结果 穴位按摩组受试者的NIHSS评分、Barthel评分均低于对照组,差异具有统计学意义（P＜0.05）,主要表现为上下肢功能恢复;穴位按摩组与对照组的握力改善差异无统计学意义（P ＞0. 05）. 结论 采用穴位按摩能够改善急性脑梗死静脉溶栓术后患者的肢体功能,该疗法的安全性良好。Objective To investigate the acupressure to improve limbs function for acute cerebral infarction （ ACI） patients after intravenous thrombolysis. Methods Using randomized controlled study, a total of 71 patients, who visited doctor from January 2011 to June 2014 in Emergency Department Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine and treated acute cerebral infarction by intravenous thrombolysis, were divided into control group （32 cases） and experimental group （39 cases）. The patients of control group received conventional care, while the patients of experimental group treated with acupressure on the basis of the conventional care. The NIHSS score, Barthel index rating scale and adult grip strength assessment were used to evaluate the effects at the beginning and ending of treatments. Results The NIHSS score and Barthel score for participates in the experimental group were significantly lower than those of the control group （P〈0. 05）, especially in upper and lower limb function recovery; the scores of grip strength in two groups had no statistical significance （P〉0. 05）. Conclusions The utilization of acupressure can improve the limbs function of ACI patients after thrombolysis, and this therapy is safe to use.

关 键 词：脑梗死 静脉溶栓 穴位按摩 肢体功能 

分 类 号：R473.74[医药卫生—护理学]