温阳灸联合活血消肿散改善中风后偏瘫肢体肿胀的效果观察  

The effect of the warming-yang moxibustion combined with pulvis of activating-blood and detumescence in relieving limb swelling of patients with hemiplegia after stroke

作　　者：金婕[1] 蒋圆圆 银星凤 

机构地区：[1]广西中医药大学附属瑞康医院护理部,广西南宁530011 [2]广西中医药大学附属瑞康医院神经内科,广西南宁530011

出　　处：《中西医结合护理（中英文）》2018年第1期51-54,共4页Journal of Clinical Nursing in Practice

基　　金：2014年广西中医药民族医药自筹经费科研课题(gzzc14-29)

摘　　要：目的探讨温阳灸联合活血消肿散对改善中风后偏瘫肢体肿胀的应用效果。方法选取2015年2月—2016年7月住院的中风恢复期患者120例,患者随机分成对照组40例,干预1组40例,干预2组40例。对照组采用常规药物治疗,并抬高患肢处于功能位;干预1组在对照组的基础上加用活血消肿散热敷,干预2组在对照组的基础上采用温阳灸联合活血消肿散热敷。观察干预前、干预后第14天患肢上、下肢周径,FuglM eyer评分,Barthel指数(BI)。结果干预后,干预1组上、下肢周径小于对照组(P<0.05),而干预2组则小于干预1组(P<0.05)及对照组(P<0.01);干预后,干预1组Fugl-Meyer评分、BI值高于对照组(P<0.05),而干预2组则高于干预1组(P<0.05)及对照组(P<0.01)。结论中风后偏瘫肢体肿胀患者采用温阳灸联合活血消肿散热敷可有效缓解肢体肿胀的症状,促进肢体功能恢复,提高患者生活自理能力。Objective To investigate the effect of warming-yang moxibustion combined with pulvis of activating-blood and detumescence in relieving limb swelling of patients with hemiplegia after stroke. Methods Totally 120 patients with hemiplegia in convalescence after stroke were assigned to the control group( n = 40),intervention group 1( n = 40) and intervention group 2( n =40). All patients received comprehensive treatment and their affected limb in the functional position. Patients in the intervention group 1 received pulvis of activating-blood and detumescence,and those in the intervention group 2 received warming-yang moxibustion combined with pulvis of activating-blood and detumescence. The upper limb circumference,lower limb circumference,FuglMeyer scale,Barthelindex( BI) were evaluated before intervention and 14 days after intervention.Results The upper and lower affected limb circumference were smaller in the intervention group 1 than those in the control group( P < 0. 05),and the upper and lower affected limb circumference were smaller in the intervention group 2 than those in the control group( P < 0. 01) and those in the intervention group 1( P < 0. 05). The Fugl-Meyer scale and BI were higher in the intervention group 1 than those in the control group( P < 0. 05),and Fugl-Meyer scale and BI were higher were smaller in the intervention group 2 than those in the control group( P < 0. 01) and those in the intervention group 1( P < 0. 05). Conclusion Warming-yang moxibustion combined with pulvis of activating-blood and detumescence can effectively relieve the symptoms of affected limb swelling,promote the recovery of limb function and improve the self-management ability of patients.

关 键 词：肢体肿胀 温阳灸 活血消肿散 中风 中医护理 运动功能 

分 类 号：R247.9[医药卫生—中医临床基础]