循经刮痧联合中药热敷对卒中后肩手综合征中医护理干预效果评价(1)
【摘要】目的 探討和评价循经刮痧联合中药热敷对卒中后肩手综合征(SHS)中医护理干预效果。方法 选取2017年01月～2020年04月我院脑病科收治的脑卒中后肩手综合征急性期(Ⅰ期)患者52例，随机分为对照组(n=26)和观察组(n=26)。对照组给予常规药物治疗和物理康复治疗及功能训练干预，观察组在对照组基础上联合循经刮痧联合中药热敷中医护理干预措施。干预4周，对比两组患侧手臂疼痛视觉模拟评分(VAS)、患手肿胀程度、肢体运动功能评估Fugl-Meyer评分(FMA)及日常生活活动能力评估结果(ADL改良Barthel指数)。结果 干预前，两组VAS、FMA、ADL及患手肿胀程度比较无明显差异，差异无统计学意义(P>0.05);干预后，两组VAS、FMA、ADL及患手肿胀程度均较本组干预前有明显改善，但观察组指标改善程度又明显优于对照组，差异有统计学意义(P<0.05)。结论 在常规物理康复治疗及功能训练基础上，增加实施循经刮痧联合中药热敷中医护理干预措施，能有效改善卒中后肩手综合征患者疼痛和肿胀程度，促进患者肢体运动功能恢复，从而提高患者日常生活活动能力和总体生活质量。
【关键词】卒中后肩手综合征; 循经刮痧;中药热敷;疼痛;肿胀;运动功能;生活质量
【中图分类号】R245 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.33..03
【Abstract】Objective To explore and evaluate the effect of traditional Chinese medicine nursing intervention in the treatment of post-stroke shoulder-hand syndrome (SHS) by the combination of Gua Sha combined with traditional Chinese medicine.MethodsA From January 2017 to April 2020，52 patients with post-stroke shoulder-hand syndrome in the acute phase (stage I) who were admitted to our hospital’s encephalopathy department were selected and randomly divided into control group (n=26) and observation group (n= 26). The control group was given conventional medication， physical rehabilitation and functional training intervention， and the observation group was combined with meridian scraping and traditional Chinese medicine hot compress on the basis of the control group. After 4 weeks of intervention， the two groups were compared with the visual analogue scale (VAS) for arm pain， the degree of swelling of the affected hand， the Fugl-Meyer score (FMA) and the assessment results of activities of daily living (ADL modified Barthel index).Results Before the intervention， there was no significant difference between the two groups of VAS， FMA， ADL and the degree of swelling of the affected hand (P>0.05); after the intervention， the two groups of VAS， FMA， ADL， and the degree of swelling of the affected hand were significantly improved compared with the previous group. However， the improvement of the observation group's indexes was significantly better than that of the control group (P<0.05).Conclusion On the basis of conventional physical rehabilitation treatment and functional training， the implementation of meridian scraping combined with traditional Chinese medicine hot compress traditional Chinese medicine nursing intervention measures can effectively improve the pain and swelling of patients with shoulder-hand syndrome after stroke， promote the recovery of the patient’s limb motor function， and improve the patient’s daily routine Life activity ability and overall quality of life., http://www.100md.com(杜惠玲)
【关键词】卒中后肩手综合征; 循经刮痧;中药热敷;疼痛;肿胀;运动功能;生活质量
【中图分类号】R245 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.33..03
【Abstract】Objective To explore and evaluate the effect of traditional Chinese medicine nursing intervention in the treatment of post-stroke shoulder-hand syndrome (SHS) by the combination of Gua Sha combined with traditional Chinese medicine.MethodsA From January 2017 to April 2020，52 patients with post-stroke shoulder-hand syndrome in the acute phase (stage I) who were admitted to our hospital’s encephalopathy department were selected and randomly divided into control group (n=26) and observation group (n= 26). The control group was given conventional medication， physical rehabilitation and functional training intervention， and the observation group was combined with meridian scraping and traditional Chinese medicine hot compress on the basis of the control group. After 4 weeks of intervention， the two groups were compared with the visual analogue scale (VAS) for arm pain， the degree of swelling of the affected hand， the Fugl-Meyer score (FMA) and the assessment results of activities of daily living (ADL modified Barthel index).Results Before the intervention， there was no significant difference between the two groups of VAS， FMA， ADL and the degree of swelling of the affected hand (P>0.05); after the intervention， the two groups of VAS， FMA， ADL， and the degree of swelling of the affected hand were significantly improved compared with the previous group. However， the improvement of the observation group's indexes was significantly better than that of the control group (P<0.05).Conclusion On the basis of conventional physical rehabilitation treatment and functional training， the implementation of meridian scraping combined with traditional Chinese medicine hot compress traditional Chinese medicine nursing intervention measures can effectively improve the pain and swelling of patients with shoulder-hand syndrome after stroke， promote the recovery of the patient’s limb motor function， and improve the patient’s daily routine Life activity ability and overall quality of life., http://www.100md.com(杜惠玲)