四子散盐熨手三阴经筋对脑卒中偏瘫患者上肢痉挛的影响  

Effects of four-type seeds powder with salt for hot-ironing on San-yin meridian of the hand applied in post-stroke patients with spastic upper limb hemiparesis

作　　者：李壮苗[1] 吴燕华 黄美玲 陈岚榕 李霞[1] 杨颖辉 Li Zhuangmiao;Wu Yanhua;Huang Meiling;Chen Lanrong;Li Xia;Yang Yinghui(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]福建中医药大学护理学院,福建福州350122 [2]复旦大学附属中山医院厦门医院 [3]香港理工大学护理学院 [4]福建中医药大学附属康复医院

出　　处：《护理学杂志》2020年第19期7-10,共4页Journal of Nursing Science

基　　金：2017年福建省卫生计生委中青年骨干人才培养项目(2017-ZQN-64)。

摘　　要：目的探讨四子散盐熨手三阴经筋对脑卒中偏瘫患者上肢痉挛的康复护理效果。方法将108例恢复期脑卒中上肢痉挛偏瘫患者随机分为两组各54例。对照组采用常规治疗、护理和康复训练;干预组在此基础上施予四子散盐熨手三阴经筋,干预4周后评价效果。结果对照组49例、干预组48例完成全程研究进入结果分析。干预后干预组上肢痉挛缓解程度、运动功能提高程度、临床结局评分显著优于对照组(P<0.05,P<0.01);治疗过程中未发生生命体征变化及局部损伤。结论四子散盐熨手三阴经筋可有效缓解卒中患者上肢痉挛状态,改善上肢运动功能及临床结局。Objective To explore the effect of four-type seeds powder with salt for hot-ironing on San-yin meridian of the hand on the spasticity of the hemiparetic upper limb after stroke.Methods A total of 108 patients with poststroke upper limb spasticity in the convalescent stage were randomized into two groups,with 54 in each group.The control group received conventional treatment,nursing and rehabilitation training,while their counterparts in the intervention group additionally received four-type seeds powder with salt for hot-ironing on San-yin meridian of the hand.The effects were evaluated after 4 weeks of intervention.Results Forty-nine patients in the control group and 48 in the intervention group completed the study.The intervention group reported better improvement in spasticity,upper limb motor function and clinical outcomes compared with the control group after the intervention(P<0.05,P<0.01).None of the participants developed changes in vital signs and regional injury.Conclusion Four-type seeds powder with salt for hot-ironing on San-yin meridian of the hand could effectively ameliorate poststroke upper limb spasticity,improve upper limb motor function and clinical outcomes.

关 键 词：脑卒中 上肢痉挛 四子散 盐熨 三阴经筋 康复护理 中医护理 

分 类 号：R248[医药卫生—中医临床基础] R473.5[医药卫生—中医学]