中医辨体施护对脑卒中偏瘫患者肢体运动功能、步态参数及护理效果的影响  

Impacts of Constitution-differentiation and TCM Nursing on Limb Motor Function,Gait Parameters in Stroke Patients with Hemiplegia and Its Influence on Nursing Effects

作　　者：肖梦 田娟娟 张金丽[1] XIAO Meng;TIAN Juanjuan;ZHANG Jinli(Fuyang Traditional Chinese Medicine Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市中医医院,安徽阜阳236000

出　　处：《西部中医药》2025年第4期118-122,共5页Western Journal of Traditional Chinese Medicine

基　　金：安徽省红十字中医药传承创新发展研究项目(2022ZYYD10)。

摘　　要：目的:探讨辨体施护对脑卒中偏瘫患者肢体运动功能、步态参数及护理效果的影响。方法:选取90例脑卒中偏瘫患者,按照随机数字表法观察组和对照组,每组45例。对照组予以常规护理干预,观察组于对照组的基础上予以辨体施护,两组均连续干预3周。比较两组干预后步行功能、步态参数、美国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分、Berg平衡量表(berg balance scale,BBS)评分、Fugl-Meyer运动功能(Fugl-Meyer motor function,FMA)及生活质量评分。结果:干预3周后,观察组步行功能为5级的患者占比高于对照组(P<0.05),步行功能为2级的患者占比则低于对照组(P<0.05)。与干预前比较,干预3周后两组步态参数中的步幅均增长,步速均加快,步宽均变短,摆动相均增高,支撑相均降低P<0.05);两组BBS评分、FMA评分均升高,NIHSS评分均降低(P<0.05);两组生活质量评分中的环境领域、社会关系领域、心理领域和生理领域评分均升高(P<0.05);且干预后观察组上述指标改善均优于对照组(P<0.05)。结论:辨体施护可有效改善脑卒中偏瘫患者的肢体运动功能、步态以及神经功能缺损情况,提升其步行和平衡能力,提高生活质量。Objective:To survey the influences of constitution-differentiation and TCM nursing on limb motor function,gait parameters in stroke patients with hemiplegia and its impacts on nursing effects.Methods:All 90 patients were allocated to the observation group and the control group according to random number table method with 45 cases in each group.The control group accepted conventional nursing intervention,while TCM nursing based on constitution differentiation was given to the observation group,both groups were intervened for three weeks continuously.To compare walking function,gait parameters,NIHSS scores,BBS scales,FMA and quality of life in the two groups after the intervention.Results:After three weeks of the intervention,the proportion of patients with walking function of grade 5 in the observation group was higher than that of the control group(P<0.05),the proportion of patients with walking function of grade 2 was lower than that of the control group(P<0.05).The strides lengthened,the pace quickened,and stride width shortened,swing phase increased,while the support phase reduced among the gait parameters in the two groups after three weeks of the intervention when compared with before the intervention(P<0.05);BBS scores and FMA scores were increased while NIHSS scores were lowered in the two groups(P<0.05);environmental,social relations,psychological and physical domains of quality of life scores were elevated in both groups(P<0.05);and the improvements of the above indexes of the observation group were better than these of the control group(P<0.05).Conclusion:Constitution-differentiation and TCM nursing could effectively improve limb motor function,gait and neurological deficit in stroke patients with hemiplegia and its impacts on nursing effects,perfect the patients'walking ability and balance,and enhance the quality of life.

关 键 词：脑卒中 偏瘫 辨体施护 生活质量 肢体运动功能 步态参数 

分 类 号：R248.1[医药卫生—中医临床基础]