足三里温灸法在脑梗死患者早期康复中的应用  

Application of tsusanli warming moxibustion in early rehabilitation in patients with cerebral infarction

作　　者：陈小芳[1] 李菲 谢晶军[2] 叶家薇[3] 孙琦[2] Chen Xiaofang;Li Fei;Xie Jingjun;Ye Jiawei;Sun Qi(Department of Neurology,the First People’s Hospital of Huzhou,Zhejiang Province Huzhou 313000,China;Department of Rehabilitation Medicine,the First People’s Hospital of Huzhou,Zhejiang Province,Huzhou 313000,China;Department of Nursing,the First People's Hospital of Huzhou,Zhejiang Province,Huzhou 313000,China)

机构地区：[1]浙江省湖州市第一人民医院神经内科,313000 [2]浙江省湖州市第一人民医院康复医学科,313000 [3]浙江省湖州市第一人民医院护理部,313000

出　　处：《中华现代护理杂志》2019年第35期4579-4583,共5页Chinese Journal of Modern Nursing

基　　金：湖州市科技计划项目(2017GY45);湖州市中医药重点专科(2016ZZ04)。

摘　　要：目的 探讨足三里温灸法结合康复护理在脑梗死患者早期康复中的应用.方法 采用便利抽样法,选取2018年1月-2019年3月在浙江省湖州市第一人民医院康复医学科和神经内科治疗的120例脑梗死且各项生命体征平稳的患者为研究对象.采用随机数字表法将患者分为对照组与观察组,每组各60例.对照组采用常规药物治疗+康复护理,观察组采用温灸+常规药物治疗+康复护理.采用巴氏指数(Bathel index,BI指数)、美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)和肌力比较干预的效果.结果观察组的总有效率为91.3%,高于对照组的66.7%,差异有统计学意义(P<0.05).治疗后2、3个月观察组患者BI指数≥75分者例数多于对照组,差异有统计学意义(P<0.05).治疗后2、3个月观察组患者NIHSS评分低于对照组,差异有统计学意义(P<0.05).结论足三里温灸法结合常规康复护理的中西医结合方法对改善脑卒中早期康复患者的神经功能效果显著,同时也提高了患者的日常生活能力.Objective To explore the application of tsusanli warming moxibustion in early rehabilitation in patients with cerebral infarction. Methods Totally 120 patients with cerebral infarction and stable vital signs treated in the Department of Neurology of the First People's Hospital of Huzhou from January 2018 to March 2019 were selected using convenient sampling and divided into control (n=60) and observation (n=60) groups according to the random number table. Patients in the control group received routine drug therapy and rehabilitation care, while patients in the observation group received warming moxibustion, routine drug therapy and rehabilitation care. Bathel Index (BI), National Institute of Health Stroke Scale (NIHSS) and myodynamia were used to compare the effects of intervention. Results The total effective rate in the observation group was 91.3%, higher than 66.7% in the control group, and there was statistically significant difference between the two groups (P<0.05). The number of patients with a BI ≥ 75 in the observation group were more than that in the control group 2 and 3 months after treatment, and there was statistically significant difference between the two groups (P<0.05). The NIHSS score of the observation group was lower than that of the control group 2 and 3 months after treatment, and there was statistically significant difference between the two groups (P<0.05). Conclusions Tsusanli warming moxibustion combined with integrated Chinese and Western medical methods in routine rehabilitation care show an obvious effect on the neurological function in patients with cerebral stroke during early rehabilitation, which can also improve their activities of daily living.

关 键 词：脑梗死 足三里 温灸 

分 类 号：R47[医药卫生—护理学]