徵调音乐对气虚血瘀型缺血性脑卒中偏瘫患者运动功能的影响  

Effect of Zhi Tune Music on Motor Function of Cerebral Ischemic Stroke Hemiplegic Patients with Qi Deficiency and Blood Stasis Syndrome

作　　者：李霞[1] 邓凤[2] 吴小玉 陈锦秀[1] 

机构地区：[1]福建中医药大学护理学院,福建福州350122 [2]福建省肿瘤医院,福建福州350014 [3]京都光华女子大学健康学部,日本京都615-0882

出　　处：《康复学报》2017年第2期45-48,58,共5页Rehabilitation Medicine

基　　金：国家自然科学基金项目(81373709);福建省教育厅中青年教师教育科研项目(JA13162)

摘　　要：目的:探讨徵调音乐对气虚血瘀型缺血性脑卒中偏瘫患者运动功能的影响。方法:90例气虚血瘀型缺血性脑卒中偏瘫患者按照随机数字表法分为徵调音乐组和常规对照组,每组各45例。常规对照组接受常规治疗与护理,徵调音乐组在对照组基础上聆听徵调音乐每次1 h,每天1次,1周5次,2组治疗时间为4周。治疗前后采用Fugl-Meyer测评量表(FMA)、中医症候分级量化评分标准和临床神经功能缺损程度评分标准对患者进行测评,判定徵调音乐的干预效果。结果:2组治疗后上、下肢Fugl-Meyer评分均提高(P<0.05),且徵调音乐组下肢评分提高幅度大于对照组(P<0.05)。2组治疗后神经功能缺损评分均下降(P<0.05),且徵调音乐组神经功能缺损评分下降幅度大于对照组(P<0.05)。2组治疗后中医证候疗效比较,徵调音乐组优于常规对照组(P<0.05)。结论:徵调音乐干预可促进气虚血瘀型缺血性脑卒中偏瘫患者下肢运动功能康复,修复缺损的神经功能,改善中医证候,疗效优于常规治疗。Objective：To explore the effect of Zhi tune music on motor function of cerebral ischemic stroke hemiplegic（CISH）patients with Qi deficiency and blood stasis syndrome. Methods：A total of 90 CISH patients with Qi deficiency and blood stasis syndrome were randomized into Zhi tune group（n=45） and conventional control group（n=45）. Zhi tune group accepted listening to music of Zhi tune in addition to general treatment and care while conventional control group only received general treatment and care. The treatment lasted for four weeks in both groups. The Fugl-Meyer assessment scale, clinic neurological function deficit scale for stroke,and traditional Chinese medicine（TCM） symptomatic grading and quantifying standard were used to evaluate the therapeutic effect of both groups. Results：After the treatment, the upper and lower extremities’ FMA scores of both groups were increased significantly（P〈0.05）, and the increasing amplitude of lower extremities’ FMA score of Zhi tune group was higher than that of conventional control group（P〈0.05）. The neurological function deficit scales of both groups after the treatment were decreased significantly（P〈0.05）, and the decreasing amplitude of Zhi tune group was higher than that of conventional control group（P〈0.05）. The TCM symptomatic therapeutic effect of Zhi tune group was better than that of conventional control group（P〈0.05）. Conclusion：Zhi tune music could improve motor function of lower extremities, repair nervous functional deficiency, and improve TCM syndrome of CISH patients with Qi deficiency and blood stasis syndrome.

关 键 词：徵调音乐 气虚血瘀 偏瘫 缺血性脑卒中 运动功能 

分 类 号：R473.74[医药卫生—护理学]