徐而和砭法联合抗痉挛模式护理在脑卒中后痉挛性偏瘫中的应用效果  

Observation on the effect of Xuerhebian combined with antispasmodic mode nursing in spastic hemiplegia after stroke

作　　者：樊雅玲 尤敏[2] 刘艺 王婷[2] FAN Yaling;YOU Min;LIU Yi;WANG Ting(School of Nursing,Anhui University of Chinese Medicine,Hefei 230012,China;Department of Nursing,the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学护理学院,安徽合肥230012 [2]安徽中医药大学第二附属医院护理部,安徽合肥230031

出　　处：《老年医学研究》2024年第4期9-13,共5页Geriatrics Research

基　　金：安徽省高等学校科学研究项目(2023AH050857,安徽省三甲中医院中医护理技术规范化管理方案的构建与实证研究)。

摘　　要：目的探讨徐而和砭法联合抗痉挛模式护理在脑卒中后痉挛性偏瘫中的应用效果。方法选取2022年3月—12月安徽中医药大学第二附属医院60例脑卒中后痉挛性偏瘫患者,随机分为常规组与徐而和组各30例。常规组给予常规治疗和护理并采用抗痉挛护理;徐而和组在常规组基础上加用徐而和手法的铜砭刮痧进行干预,两组均干预2周。干预前及干预后采用Fugl-Meyer运动功能评定量表(FMA)评估运动功能,采用改良Ashworth量表(MAS)评估肌张力,采用改良Barthel指数评估日常生活活动能力,采用中文版脑卒中专用生活质量量表(SS‐QOL)评估生活质量。结果干预后,徐而和组FMA得分较常规组高,下肢痉挛改善程度较常规组优,Barthel指数评分较常规组高,SS-QOL量表各维度评分较常规组高(P均<0.05)。结论徐而和砭法联合抗痉挛模式护理可改善脑卒中后痉挛性偏瘫患者的肌张力,增强运动功能,提高日常生活能力。Objective To investigate the effect of Xuerhebian combined with antispasmodic mode nursing on spastic hemiplegia after stroke.Methods A total of 60 patients with spastic hemiplegia after stroke in the Second Affiliated Hospital of Anhui University of Chinese Medicine from March to December 2022 were randomly divided into conventional group and Xu Erhe group with 30 patients in each group.The conventional group was given routine treatment and nursing and anti-spasticity nursing.On the basis of the conventional group,Xu Erhe group was treated with Tongbian Guasha by Xu Erhe technique,both groups were treated for 2 weeks.Before and after intervention,the Fugl-Meyer Motor Function Rating Scale(FMA)was used to assess motor function,the modified Ashworth Scale(MAS)was used to assess muscle tone,the modified Barthel index was used to assess activities of daily living,and the Chinese version of the Stroke Specific Quality of Life Scale(SS‐QOL)was used to assess the quality of life.Results After intervention,the FMA score,the improvement degree of lower extremity spasm,the Barthel index score and the SS-QOL scale score were higher than the conventional group(all P<0.05).Conclusion Xuerhebian combined with antispasmodic nursing can improve the muscle tone,motor function and daily living ability of patients with spastic hemiplegia after stroke.

关 键 词：脑卒中 肢体痉挛 徐而和手法 铜砭刮痧疗法 抗痉挛模式 

分 类 号：R743[医药卫生—神经病学与精神病学]