中医养生理论在缺血性脑卒中患者中医特色护理策略中的应用  

Application of health maintenance theory of traditional Chinese medicine in traditional Chinese medicine characteristic nursing strategy for patients with ischemic stroke

作　　者：王珣 孔盼盼 WANG Xun;KONG Panpan(Xuzhou City Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州市中医院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2024年第11期45-48,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察中医养生理论在缺血性脑卒中患者中医特色护理策略中的应用效果。方法选取2021年7月至2023年8月在徐州市中医院接受治疗的300例缺血性脑卒中患者作为研究对象,采用随机数字表法分为对照组(150例)和观察组(150例)。对照组给予常规护理方法,观察组给予以中医养生理论为基础的中医特色护理策略。比较2组护理前后的血液黏度、上肢肌力及下肢运动功能等指标。结果护理1个月和3个月后,观察组的全血高切黏度和低切黏度、美国国立卫生研究院卒中量表评分均低于同期对照组,上肢肌力评分、下肢Fugl-Meyer运动量表评分、Berg平衡量表评分、脑卒中专用生活质量量表评分及Barthel指数均高于同期对照组(P均<0.05);2组的各项指标均优于护理前,且护理3个月后均优于护理1个月后(P均<0.05)。结论以中医养生理论为基础的中医特色护理策略能够有效促进缺血性脑卒中患者的肢体平衡力、肌力和运动能力的恢复,改善患者的神经缺损程度和血液黏度,且提高其日常生活能力和生活质量。Objective To investigate the application effect of health maintenance theory of traditional Chinese medicine in traditional Chinese medicine characteristic nursing strategy for patients with ischemic stroke.Methods A total of 300 ischemic stroke patients who received treatment at Xuzhou City Hospital of Traditional Chinese Medicine from July 2021 to August 2023 were selected as the research subjects.They were assigned to a control group(150 cases)and an observation group(150 cases)using a random number table.The control group was given routine nursing method,while the observation group was given traditional Chinese medicine characteristic nursing strategy based on health maintenance theory of traditional Chinese medicine.The blood viscosity,upper limb muscle strength,and lower limb motor function of the two groups were compared before and after nursing.Results After 1 and 3 months of nursing,the observation group had lower whole blood viscosity at high shear rate and low shear rate,as well as lower scores on the National Institutes of Health Stroke Scale compared with the control group.The observation group had higher scores on upper limb muscle strength,lower limb Fugl-Meyer Assessment,Berg Balance Scale,Stroke-Specific Quality of Life Scale,and Barthel Index(all P<0.05).All indicators of both groups were better than those before nursing,and the indicators after 3 months of nursing were better than those after 1 month of nursing(all P<0.05).Conclusion Traditional Chinese medicine characteristic nursing strategy based on health maintenance theory of traditional Chinese medicine can effectively promote the recovery of body balance,muscle strength,and motor ability in patients with ischemic stroke,improve the neurological deficit and blood viscosity,and enhance the activities of daily living and quality of life.

关 键 词：缺血性脑卒中 中医特色护理 中医养生理论 日常生活能力 

分 类 号：R248.1[医药卫生—中医临床基础]