抗痉挛模式护理干预脑卒中后肩手综合征肌痉挛的临床疗效  

Clinical Effect of Anti Spasm Model Nursing in the Intervention of Muscle Spasm Patient with Shoulder-hand Syndrome after Stroke

作　　者：陈惠丰[1] 程熙[1] 苏亮珍[1] 

机构地区：[1]福建中医药大学附属康复医院神经康复科,福州350003

出　　处：《中国中医药现代远程教育》2016年第15期121-122,共2页Chinese Medicine Modern Distance Education of China

基　　金：福建中医药大学康复技术协同创新中心资助经费(No:X2014014)

摘　　要：目的观察抗痉挛模式护理干预对脑卒中后肩手综合征肌痉挛的疗效。方法将60例脑卒中所致肩手综合征患者随机分为试验组、对照组各30例,试验组采用抗痉挛模式护理方法,对照组采用常规护理措施。采用改良Ashworth量表评定、改良Barthel指数量表评定,对两组患者干预前、后肢体痉挛状态及日常生活能力进行评定。结果试验组干预后患肢痉挛评分较干预前有明显改善,日常生活能力评分有明显提高,与对照组比较有统计学意义。结论抗痉挛模式护理对脑卒中后肩手综合征肌痉挛有明显的改善作用,可提高患者的日常生活能力。Objective To observe the effect of anti spasm model nursing intervention in the stroke patients featured with shoulder-hand syndrome muscle spasm. Methods 60 cases of shoulder-hand syndrome muscle spasm patients were randomly divided into experimental group（30 cases） and control group（30 cases）. The former was treated with anti spasm model nursing, while the latter was given conventional nursing. Ashworth and Barthel method were employed to evaluate the limb spasm condition and their daily living activities before and after rehabilitation. Results After intervention, the scores of limb spasm and BI in the experimental group was noticeably raised, which had statistical meaning comparing with control group. Conclusion The improvement of anti spasm model nursing intervention in stoke-caused shoulder-hand syndrome muscle spasm is remarkable, and the patients＇ daily living capability can also be greatly improved.

关 键 词：抗痉挛护理模式 肩手综合征 肌痉挛 痹证 

分 类 号：R473.74[医药卫生—护理学]