分经论治思想指导下探讨拇指药罐护理技术对中风恢复期偏瘫患者的临床疗效  

The Clinical Effect of Thumb Medicine Pot Nursing Technique in Hemiplegia Patients in the Recovery Period of Stroke Under the Guidance of the Idea of Dividing the Channel and Treating

作　　者：张文娟[1] 修闽宁[1] 李晶 刘晶晶[1] ZHANG Wenjuan;XIU Minning;LI Jing;LIU Jingjing(Jiangsu Province Hospital of Chinese Medicine,Nanjing Jiangsu 210000,China)

机构地区：[1]江苏省中医院,江苏南京210000

出　　处：《中医药导报》2024年第11期102-105,109,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省卫生健康委员会课题(BJ19024)。

摘　　要：目的:在分经论治思想指导下,探讨拇指药罐护理技术在中风恢复期偏瘫患者中的临床疗效及安全性。方法:选取我院收治的中风恢复期偏瘫患者100例缺血性为研究对象,采用随机数字表法分为对照组和观察组,各50例。对照组予规范西医治疗及护理;观察组在对照组基础上根据中医辨证取穴、处方,再予拇指药罐护理技术干预,两组疗程均为2周。比较两组患者治疗前后缺损神经功能、肢体运动功能、中医证候积分及焦虑抑郁情况,评估临床疗效及安全性。结果:两组患者治疗后美国国立卫生研究院卒中量表(NIHSS)评分、抑郁自评量表(SDS)评分、中医证候积分均低于同组治疗前,卒中患者运动评估量表(MAS)评分高于同组治疗前,差异均有统计学意义(P<0.01);治疗后,观察组患者NIHSS评分、SDS评分、中医证候积分低于同期对照组,MAS评分高于同期对照组,差异均有统计学意义(P<0.05)。对照组患者总有效率为84.0%(42/50),低于观察组的98.0%(49/50),差异有统计学意义(P<0.05)。对照组患者治疗过程中不良反应发生率为0.0%(0/50)、观察组为4.0%(2/50),组间比较,差异无统计学意义(P>0.05)。结论:在分经论治思想指导下,拇指药罐护理技术干预缺血性中风恢复期安全有效,能进一步促进患者缺损神经功能恢复,改善临床症状,提高肢体运动能力,同时在一定程度上改善患者焦虑抑郁情况。Objective:To explore the clinical effect and safety of thumb medicine pot nursing technique in hemiplegia patients in the recovery period of stroke under the guidance of the idea of dividing the channel and treating.Method:A total of 100 stroke patients with hemiplegia in the recovery period admitted to our hospital were selected as the research subjects.They were randomly divided into a control group and an observation group,with 50 cases in each group,using a random number table method.The control group received standardized Western medicine treatment and nursing care;The observation group received acupuncture points and prescriptions based on traditional Chinese medicine differentiation on the basis of the control group,and then received thumb medicine jar nursing intervention.The treatment course for both groups was 2 weeks.Compare the neurological function,limb motor function,TCM syndrome score,and anxiety and depression status of two groups before and after treatment,and evaluate the clinical efficacy and safety.Results:After treatment,the NIHSS score,SDS score,and traditional Chinese medicine symptom score of the two groups were lower than before treatment,and the MAS score was higher than before treatment(P<0.01).After treatment,the NIHSS score,SDS score,and traditional Chinese medicine symptom score in the observation group were lower than those in the control group during the same period,and the MAS was higher than that in the control group during the same period(P<0.05).The total effective rate of the control group was 84.0%(42/50),the observation group was 98.0%(49/50),and the difference was significant(P<0.05).The incidence of adverse reactions during treatment of the control group was 0.0%(0/50),and the observation group was 4.0%(2/50),there was no statistically significant difference(P>0.05).Conclusion:Under the guidance of the thought of meridian theory,the nursing technology of thumb medicine tank was safe and effective in the recovery period of ischemic stroke,which can further promote the recov

关 键 词：中风恢复期 偏瘫 拇指药罐护理技术 分经论治 临床研究 

分 类 号：R248.1[医药卫生—中医临床基础]