基于延续性护理管理的针灸联合肢体功能锻炼对脑卒中肢体功能障碍患者的影响研究  

Effects of acupuncture and moxibustion combined with limb functional exercise based on continuous nursing management on stroke patients with limb dysfunction

作　　者：薛芬[1] 薛峰 杨付莲[3] 鲁娟娟[1] Xue Fen;Xue Feng;Yang Fulian;Lu Juanjuan(Department of Rehabilitation Medicine,Nanyang First People's Hospital,Henan Province,Nanyang 473010,China;Department of Physical Examination,Epidemic Prevention Station of Wancheng District,Henan Province,Nanyang 473000,China;Department of Nursing,Nanyang First People's Hospital,Henan Province,Nanyang 473010,China)

机构地区：[1]河南省南阳市第一人民医院康复医学科,473010 [2]河南省南阳市宛城区防疫站体检科,473000 [3]河南省南阳市第一人民医院护理部,473010

出　　处：《中华现代护理杂志》2020年第14期1903-1906,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于延续性护理管理的针灸联合肢体功能锻炼对脑卒中肢体功能障碍患者的影响。方法采用便利抽样法,选取2017年9月-2019年7月南阳市第一人民医院收治的130例脑卒中肢体功能障碍患者为研究对象,随机分为对照组和观察组,每组65例。对照组给予常规护理联合肢体功能锻炼,观察组在对照组的基础上给予针灸治疗和延续性护理。比较两组中医症状积分、神经功能评分、Fugl-Meyer运动功能评估量表(FMA)、姿势控制量表(PASS)得分及6 min步行距离。结果干预后,观察组患者中医证候积分各维度得分及神经功能评分均低于对照组,两组得分比较差异有统计学意义(P<0.01);观察组患者FMA上、下肢得分均高于对照组,两组得分比较差异有统计学意义(P<0.01);观察组患者PASS得分高于对照组,6 min步行距离多于对照组,两组比较差异均有统计学意义(P<0.01)。结论基于延续性护理管理的针灸联合肢体功能锻炼能够改善患者神经功能与肢体运动功能,提高患者肢体平衡控制能力,值得在临床推广应用。Objective To explore effects of acupuncture and moxibustion combined with limb functional exercise based on continuous nursing management on stroke patients with limb dysfunction.Methods A total of 130 stroke patients with limb dysfunction who were admitted to Nanyang First People's Hospital from September 2017 to July 2019 were selected by the convenient sampling method.They were randomly divided into the control group and the observation group,with 65 cases in each group.The control group was given routine nursing combined with limb function exercise while the observation group was given acupuncture and moxibustion treatment and continuous nursing on the basis of the control group.TCM symptom scores,neurological score,Fugl-Meyer Assessment(FMA)Scale score,Postural Assessment Scale for Stroke Patients(PASS)score and 6-Minute Walking Distance were compared between the two groups.Results After intervention,the score of each dimension of TCM syndrome scores and neurological score of the observation group were lower than those of the control group,and the differences between the two groups were statistically significant(P<0.01).The FMA upper and lower limb scores of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.01).The PASS score of the observation group was higher than that of the control group,and the 6-Minute Walking Distance was more than the control group,the differences between the two groups were statistically significant(P<0.01).Conclusions Acupuncture and moxibustion combined with limb functional exercise based on continuous nursing management can improve the nerve function and limb motor function of patients and improve the balance control ability of their limbs,which is worthy of clinical promotion and application.

关 键 词：卒中 延续性护理管理 针灸 肢体功能锻炼 肢体功能障碍 

分 类 号：R473.74[医药卫生—护理学]