头部推拿刮痧疗法联合五行音乐调神护理干预在卒中恢复期患者中的醒脑开窍作用  

Eff ect of head massage and scraping therapy combined with fi ve-element music spirit-regulation nursing intervention on brain-awakening and orifi ce-opening in stroke patients during the recovery period

作　　者：殷芳芳 李海燕 李玥 张瑞 周时伟 YIN Fangfang;LI Haiyan;LI Yue;ZHANG Rui;ZHOU Shiwei(Luohe Hospital of Traditional Chinese Medicine,Luohe 462300,China)

机构地区：[1]河南省漯河市中医院,河南省漯河市462300

出　　处：《护理实践与研究》2025年第2期283-290,共8页Nursing Practice and Research

基　　金：河南省中医药科学研究专项课题(编号:2022ZY1194)。

摘　　要：目的探讨开天门推拿手法+头部刮痧联合五行音乐调神法在卒中恢复期患者中的醒脑开窍作用。方法选取医院神经内科2021年4月—2023年4月收治的脑卒中患者160例为研究对象,按照组间基线资料具有可比性原则分为对照组与观察组,每组80例。对照组给予专科护理,观察组患者在对照组基础上行开天门推拿手法、头部刮痧、五行音乐等中医适宜护理技术。护理干预前后分别采用美国国立卫生研究院卒中量表(NIHSS)、简化运动功能评定量表(Fugl-Meyer)、巴氏指数(Barthel)、匹兹堡睡眠质量指数(PSQI)、脑卒中专用生活质量量表(SS-QOL)、简易精神状态检查(MMSE)、状态-特质焦虑问卷(STAI)评估患者神经功能、肢体运动功能、日常生活活动能力、睡眠质量、生活质量变化情况,且护理干预前后采用多普勒血流探测仪(日本林电气株式会社,DVM-4500)检测患者脑血流动力学指标[平均血流速度(Vmean)、平均血流量(Qmean)、脑血管外周阻力(R)]。结果护理干预后,观察组患者NIHSS评分低于对照组,Barthel评分高于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者Fugl-Meyer总评分及各维度评分均高于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者R低于对照组,Qmean和Vmean高于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者PSQI、T-AI、S-AI评分低于对照组,SS-QOL、MMSE评分高于对照组,差异有统计学意义(P<0.05)。结论开天门推拿手法+头部刮痧联合五行音乐调神法在卒中恢复期患者干预中应用,具有醒脑开窍作用,有助于进一步改善患者神经功能、肢体功能、日常生活功能、认知功能及心理状况,提高生活质量。Objective To explore the brain-awakening and orifice-opening effects of Kaitianmen massage technique+head scraping combined withfive-element music spirit-regulating therapy on brain-awakening and orifice-opening in stroke patients during the recovery period.Methods A total of 160 stroke patients admitted to the neurology department of the hospital from April 2021 to April 2023 were selected as research subjects.According to the principle of comparability of baseline data between groups,they were divided into a control group and an observation group,with 80 cases in each group.The control group was given specialist nursing,while the observation group received appropriate traditional Chinese medicine nursing techniques such as Kaitianmen massage technique,head scraping,andfive-element music therapy on the basis of the control group.Before and after the nursing intervention,the National Institutes of Health Stroke Scale(NIHSS),Simplified Motor Function Rating Scale(Fugl-Meyer),Barthel index(Barthel),Pittsburgh Sleep Quality Index(PSQI),Stroke Specific Quality of Life Scale(SS-QOL),Mini-mental State Examination(MMSE),and State-Trait Anxiety Inventory(STAI)were used to evaluate changes in patients'neurological function,limb motor function,activities of daily living,sleep quality,and quality of life.Additionally,a Doppler bloodflowmeter(DVM-4500,Nippon Hayashi Electric Co.,Ltd.)was used to detect patients'cerebral hemodynamic parameters[mean blood flow velocity(Vmean),mean blood flow volume(Qmean),and cerebrovascular peripheral resistance(R)]before and after the nursing intervention.Results After nursing intervention,the NIHSS score in the observation group was lower than that in the control group,and the Barthel score was higher than that in the control group,the differences were statistically significant(P<0.05).After nursing intervention,the total score and each dimension scores of Fugl-Meyer in the observation group were higher than those in the control group,the differences were statistically significant(P<0.

关 键 词：脑卒中 开天门推拿 头部刮痧 五行音乐 神经功能 肢体功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]