中药热熨对卒中恢复期偏瘫患者肢体功能和平衡能力的影响  

Effect of traditional Chinese medicine hot ironing on limb function and balance ability in stroke patients with hemiplegia during the recovery period

作　　者：马媛媛 尹慧 杨冬青 李冬静 Ma Yuanyuan;Yin Hui;Yang Dongqing;Li Dongjing(Department of Acupuncture and Rehabilitation,First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院针灸康复一科,合肥230031

出　　处：《中国实用护理杂志》2025年第10期721-726,共6页Chinese Journal of Practical Nursing

基　　金：安徽省2020年度中央财政中医药事业传承与发展专项资金项目(皖卫中医药发〔2020〕5号)。

摘　　要：目的观察中药热熨对卒中恢复期偏瘫患者肢体功能和平衡能力的影响,为临床促进卒中偏瘫患者恢复提供更多参考方案。方法采用随机对照研究方法,以分层、随机抽样方法选取安徽中医药大学第一附属医院2023年6月至2024年1月收治的卒中恢复期偏瘫患者为研究对象,采用随机信封法分为对照组和观察组,对照组采取良肢位摆放手法联合常规针灸干预,观察组在对照组基础上采取中药热熨干预。干预前后分别采用Brunnstrom运动功能分级量表、三级评定法、日常生活能力量表(ADL)等评估患者的肢体功能、平衡功能和日常生活能力。结果纳入的66例患者中对照组33例,男19例,女14例,年龄(51.02±8.34)岁,观察组33例,男21例,女12例,年龄(49.65±8.21)岁。干预前,2组患者Brunnstrom上肢运动功能、Brunnstrom下肢运动功能、坐位平衡、站立平衡、ADL评分差异均无统计学意义(均P>0.05)。干预后,观察组患者Brunnstrom上肢运动功能为Ⅰ级0例、Ⅱ级及以上33例,Brunnstrom下肢运动功能为Ⅰ~Ⅲ级1例、Ⅳ级及以上32例,坐位平衡功能为Ⅰ~Ⅱ级0例、Ⅲ级33例,站立平衡功能为Ⅰ~Ⅱ级1例、Ⅲ级32例;对照组患者Brunnstrom上肢运动功能为Ⅰ级10例、Ⅱ级及以上23例,Brunnstrom下肢运动功能为Ⅰ~Ⅲ级14例、Ⅳ级及以上19例,坐位平衡功能为Ⅰ~Ⅱ级9例、Ⅲ级24例,站立平衡功能为Ⅰ~Ⅱ级11例、Ⅲ级22例,2组比较差异均有统计学意义(Z值为9.39~15.51,均P<0.05);观察组患者ADL评分为(80.25±8.89)分,高于对照组的(69.97±8.17)分,差异有统计学意义(t=4.89,P<0.05)。结论中药热熨可有效改善卒中恢复期偏瘫患者的肢体功能障碍,改善运动功能、平衡能力及步行移动能力,提高日常生活能力。Objective To observe the effect of traditional Chinese medicine(TCM)hot ironing on limb function and balance ability in stroke patients with hemiplegia during the recovery period,and to provide more reference schemes for clinical rehabilitation of stroke patients with hemiplegia.Methods A randomized controlled study was conducted.Stratified random sampling was used to select stroke patients with hemiplegia during the recovery period admitted to the First Affiliated Hospital of Anhui University of Chinese Medicine from June 2023 to January 2024.The patients were divided into a control group and an observation group using the random envelope method.The control group received limb positioning techniques combined with conventional acupuncture intervention,while the observation group received additional TCM hot ironing intervention.Before and after the intervention,the Brunnstrom motor function grading,three-level assessment method,and Activities of Daily Living(ADL)scale were used to evaluate the patients′limb function,balance function,and daily living ability.ResultsAmong the 66 patients included,with 33 patients in the control group,includinng 19 males and 14 females,aged(51.02±8.34)years old,and 33 patients in the observation group,including 21 males and 12 females,aged(49.65±8.21)years old.Before the intervention,there were no statistically significant differences in Brunnstrom upper limb motor function,Brunnstrom lower limb motor function,sitting balance,standing balance,and ADL scores between the two groups(all P>0.05).After the intervention,the observation group showed significant improvements in Brunnstrom upper limb motor function(0 cases at levelⅠ,33 cases at levelⅡor above),Brunnstrom lower limb motor function(1 case at levelsⅠ-Ⅲ,32 cases at levelⅣor above),sitting balance(0 cases at levelsⅠ-Ⅱ,33 cases at levelⅢ),and standing balance(1 case at levelsⅠ-Ⅱ,32 cases at levelⅢ).The control group showed less improvement in Brunnstrom upper limb motor function(10 cases at levelⅠ,23 cas

关 键 词：偏瘫 卒中恢复期 中药热熨 良肢位摆放 肢体功能 平衡能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]