中医结合康复护理对脑中风瘫痪患者运动功能恢复的影响  

Effects of Chinese medicine combined with rehabilitation care on motor function recovery and quality of life in stroke paralysis patients

作　　者：杨琼[1] 王普清[2] 

机构地区：[1]湖北省新华医院神经内科,武汉430000 [2]湖北医药学院,十堰442000

出　　处：《中华现代护理杂志》2016年第7期934-937,共4页Chinese Journal of Modern Nursing

基　　金：湖北省教育厅科学技术研究项目（B20122404）

摘　　要：目的：探讨中医结合康复护理对脑中风瘫痪患者运动功能恢复的影响。方法脑中风瘫痪患者140例根据随机数字表法分为治疗组与对照组各70例，两组都给予基础治疗与常规康复护理，在此基础上治疗组加用中医针灸干预，干预周期为3个月。采用神经功能缺损评分和Fugl-Meyer运动功能评分法比较两组患者的恢复情况。结果治疗组总有效率（97.1%）明显高于对照组总有效率（80.0%），差异有统计学意义（P〈0.05）。两组干预后的神经功能缺损评分明显降低，而肢体运动功能评分明显增加，与干预前及对照组比较，差异均有统计学意义（P〈0.05）。两组患者干预后瘫痪级别均明显好转，且治疗组的瘫痪级别明显好于对照组，差异均有统计学意义（P〈0.05）。结论中医结合康复护理应用于脑中风瘫痪患者能够有效改善患者的运动功能，恢复神经功能缺损状况，提高总体疗效。Objective To explore the motor function recovery and quality of life effects of Chinese medicine combined with rehabilitation care for stroke paralysis patients. Methods A total of 140 stroke paralysis patients were equally randomly divided into treatment group and control group of 70 patients, both groups were given basic treatment with conventional rehabilitation care, on the basis of the treatment group were treated with acupuncture intervention, the intervention period were 3 months. Results The overall effective rate （97. 1%） in the treatment group was significantly higher than that of the control group （80. 0%） （P〈0. 05）. The neurological deficits were significantly reduced, but motor function scores were increased significantly in the two groups after the intervention that compared with pre-intervention′s （ P 〈0. 05 ）; at the same time, the neurological deficit motor function and motor function scores in the treatment group were also significantly better than that in the control group after intervention （P〈0. 05）. The paralysis level after the intervention, both were significantly improved, and the level of paralysis in the treatment group were significantly better than that of the control group after the intervention （P〈0. 05）. Conclusions Chinese medicine combined with rehabilitation care for stroke paralysis patients can improve motor function and neurological deficit recovery, and promote the improvement of the overall effects.

关 键 词：康复护理 针灸 脑中风 瘫痪 运动功能 

分 类 号：R473.74[医药卫生—护理学]