穴位贴敷联合中药足浴对脑卒中后偏瘫患者患肢肿胀和肢体功能的影响  

Effect of Point Application Combined with Chinese Herbal Foot Bath on Swelling of Affected Limbs and Limb Function in Patients with Post-Stroke Hemiplegia

作　　者：李燕[1] 江露 吴蓓艳 LI Yan;JIANG Lu;WU Beiyan(Department of Neurosurgery,Lishui Central Hospital,Lishui Zhejiang 323000,China)

机构地区：[1]丽水市中心医院神经外科,浙江丽水323000

出　　处：《新中医》2024年第16期175-179,共5页New Chinese Medicine

基　　金：丽水市科技计划项目(2019SJZC06)。

摘　　要：目的:观察穴位贴敷联合中药足浴对气滞血瘀型脑卒中后偏瘫患肢肿胀和肢体功能的影响。方法:选取脑卒中患者155例,按护理模式的不同分为2组,对照组76例予以常规护理干预,观察组79例给予穴位贴敷联合中药足浴护理模式干预。疗程均为30 d,比较2组中医证候评分、血流动力学指标[大脑前动脉(ACA)、中动脉(MCA)及后动脉(PCA)平均血流速度(Vm)]、患肢肿胀程度、肢体功能[Fugl-Meyer运动功能评定量表(FMA)]、自理能力[日常生活活动能力评估量表(ADL)]、生活质量[脑卒中专门化生命质量量表(SS-QOL)]评分变化。结果:治疗后,观察组语言晦涩、偏身麻木、肢体疼痛、面色发白、胸胁胀痛、舌脉象等中医证候评分均较治疗前下降(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗后,2组ACA、MCA、PCA Vm水平均较治疗前升高(P<0.05),且观察组上述3项水平均高于对照组(P<0.05)。治疗后,观察组患肢肿胀评分高于对照组,差异有统计学意义(P<0.05)。治疗后,2组FMA评分均较治疗前升高(P<0.05),且观察组FMA评分高于对照组(P<0.05)。治疗后,2组ADL评分均较治疗前升高(P<0.05),且观察组ADL评分高于对照组(P<0.05)。治疗后,2组SS-QOL评分均较治疗前升高(P<0.05),且观察组SS-QOL评分高于对照组(P<0.05)。结论:穴位贴敷联合中药足浴护理模式能够明显改善气滞血瘀型脑卒中后偏瘫患者脑血流动力学及肢体功能,缓解其患肢肿胀等临床症状及中医证候,对提高生活质量具有积极效果。Objective:To observe the effect of point application combined with Chinese herbal foot bath on swelling of affected limbs and limb function in patients with post-stroke hemiplegia of qi stagnation and blood stasis type.Methods:A total of 155 cases of patients with stroke were selected,and were divied into the observation group and the control group according to the different nursing mode.The control group of 76 cases was given conventional nursing intervention,and the observation group of 79 cases was given nursing mode of point application combined with Chinese herbal foot bath.The treatment course lasted for 30 days.Traditional Chinese medicine(TCM)syndrome scores,hemodynamic-related indicators[mean blood flow velocity(Vm)of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)],degree of limb swelling,limb function[Fugl Meyer Motor Function Assessment Scale(FMA)],self-care ability[Activities of Daily Living(ADL)],and quality of life[Stroke Specific Quality of Life Scale(SS-QOL)]were compared between the two groups.Results:After treatment,the TCM syndrome scores of sluggish speech,hemiplegia,limbs pain,pale complexion,distending pain in chest and hypochondrium,tongue manifestation and pulse manifestation in the observation group were declined when compared with those before intervention(P<0.05),and each score in the observation group was lower than that in the control group(P<0.05).After treatment,the Vm of ACA,MCA,and PCA in the two groups were increased when compared with those before treatment(P<0.05),and the above three indicators in the observation group were higher than those in the control group(P<0.05).After treatment,the scores of swelling of affected limbs in the observation group were higher than those in the control group,with the difference being significant(P<0.05).After treatment,the FMA scores in the two groups were increased when compared with those before treatment(P<0.05),and the FMA score in the observation group was higher than that in the control

关 键 词：脑卒中 患肢肿胀 穴位贴敷 中药足浴 Fugl-Meyer运动功能评定量表 血流动力学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]