中风太极综合护理对缺血性卒中神经功能恢复的影响  

Effects of Tai Chi for stroke rehabilitation on neurological recovery of ischemic stroke:a prospective case series study

作　　者：庄红花[1] 尹玉珊[1] ZHUANG Honghua;YIN Yushan(Department of Neurology,The Second Affiliated Hospital of Guang.zhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院神经内科,广州510260

出　　处：《实用医学杂志》2018年第13期2263-2266,共4页The Journal of Practical Medicine

摘　　要：目的探讨中风太极对缺血性卒中神经功能恢复的影响。方法选取2012年1月至2013年12月收治的急性缺血性卒中患者,随机分为常规护理组和常规护理+中风太极护理组,通过入院时和出院时的改良Rankin量表(mRS)评分变化(△mRS)来评估患者的神经功能改善程度。结果共收集常规护理组患者36例(50.0%)和常规护理+中风太极护理组患者36例(50.0%)。两组间起病年龄、性别、入院mRS评分和住院时间比较,差异无统计学意义(P>0.05)。配对t检验结果显示,两组患者出院时mRS评分较入院时mRS评分均有所下降(P<0.05)。常规护理组△mRS为(0.280±0.513)分,常规护理组+中风太极护理组△mRS为(0.670±0.717)分,两组△mRS比较差异有统计学意义(t=2.646,P=0.010)。结论中风太极综合护理可促进神经功能恢复,改善缺血性卒中患者预后,是卒中单元一项行之有效的护理措施。Objective To investigate the effects of Tai Chi for stroke rehabilitation on the neurological re-covery of ischemic stroke.Methods Seventy patients with acute ischemic stroke were collected and divided into control group(36 cases)and Tai Chi intervention group(36 cases).Modify Rankin Scale(mRS)was used to as-sess neurological recovery at admission and discharge.Statistical analysis was performed with SPSS 13.0.Results There was no statistical significance regarding to onset age,sex,mRS score at admission and length of stay(P>0.05).The mRS scores at discharge were declined significantly both in control and Tai Chi intervention group(P<0.05).However,the score of neurological improvement(△mRS)in the Tai Chi intervention group was significant higher than that in the control group(t=2.646,P=0.010).Conclusions Tai Chi for stroke rehabilitation can improve the neurological recovery and prognosis of patients with ischemic stroke.

关 键 词：缺血性卒中 太极 神经功能 预后 

分 类 号：R473.74[医药卫生—护理学]