西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2015年
1期
90-92
,共3页
高血压脑出血%肢体偏瘫%针灸%按摩%综合康复护理
高血壓腦齣血%肢體偏癱%針灸%按摩%綜閤康複護理
고혈압뇌출혈%지체편탄%침구%안마%종합강복호리
hypertensive cerebral hemorrhage%limb hemiplegia%acupuncture%massage%comprehensive rehabilitation nursing
目的：探讨针灸、按摩配合综合康复护理对高血压脑出血后肢体偏瘫的影响。方法：将高血压脑出血伴不同程度偏瘫患者82例采用随机数字表法分为2组各41例，对照组采用常规针灸、按摩配合康复护理，观察组在此基础上结合中医辨证施护给予综合康复护理，采用改良Barthel指数(MBI)和简化Fugl-Mey-er运动功能量表(FMA)分别对护理前及护理后3个月、6个月、12个月日常生活能力和运动功能进行评价，同时比较2组继发障碍发生率。结果：观察组患者治疗与护理后3个月、6个月、12个月MBI指数、FMA评分均高于对照组；观察组肩-手综合征、肩痛、肩关节挛缩、肩关节半脱位的发生率分别为26.83%、53.66%、19.51%、9.76%，继发障碍发生率明显低于对照组，2组比较差异具有统计学意义(P＜0.05)。结论：高血压脑出血后肢体偏瘫患者的治疗与护理是长期漫长的过程，针对患者病情及心理状态进行辨证综合护理，可减少继发障碍，缩短康复时间，增强患者的日常生活能力。
目的：探討針灸、按摩配閤綜閤康複護理對高血壓腦齣血後肢體偏癱的影響。方法：將高血壓腦齣血伴不同程度偏癱患者82例採用隨機數字錶法分為2組各41例，對照組採用常規針灸、按摩配閤康複護理，觀察組在此基礎上結閤中醫辨證施護給予綜閤康複護理，採用改良Barthel指數(MBI)和簡化Fugl-Mey-er運動功能量錶(FMA)分彆對護理前及護理後3箇月、6箇月、12箇月日常生活能力和運動功能進行評價，同時比較2組繼髮障礙髮生率。結果：觀察組患者治療與護理後3箇月、6箇月、12箇月MBI指數、FMA評分均高于對照組；觀察組肩-手綜閤徵、肩痛、肩關節攣縮、肩關節半脫位的髮生率分彆為26.83%、53.66%、19.51%、9.76%，繼髮障礙髮生率明顯低于對照組，2組比較差異具有統計學意義(P＜0.05)。結論：高血壓腦齣血後肢體偏癱患者的治療與護理是長期漫長的過程，針對患者病情及心理狀態進行辨證綜閤護理，可減少繼髮障礙，縮短康複時間，增彊患者的日常生活能力。
목적：탐토침구、안마배합종합강복호리대고혈압뇌출혈후지체편탄적영향。방법：장고혈압뇌출혈반불동정도편탄환자82례채용수궤수자표법분위2조각41례，대조조채용상규침구、안마배합강복호리，관찰조재차기출상결합중의변증시호급여종합강복호리，채용개량Barthel지수(MBI)화간화Fugl-Mey-er운동공능량표(FMA)분별대호리전급호리후3개월、6개월、12개월일상생활능력화운동공능진행평개，동시비교2조계발장애발생솔。결과：관찰조환자치료여호리후3개월、6개월、12개월MBI지수、FMA평분균고우대조조；관찰조견-수종합정、견통、견관절련축、견관절반탈위적발생솔분별위26.83%、53.66%、19.51%、9.76%，계발장애발생솔명현저우대조조，2조비교차이구유통계학의의(P＜0.05)。결론：고혈압뇌출혈후지체편탄환자적치료여호리시장기만장적과정，침대환자병정급심리상태진행변증종합호리，가감소계발장애，축단강복시간，증강환자적일상생활능력。
Objective: To analyze the influence of the therapy combining acupuncture and massage with com-prehensive rehabilitation nursing over the patients suffering from limb hemiplegia because of hypertensive cerebral hemorrhage. Methods: Overall 82 patients of limb hemiplegia due to hypertensive cerebral hemorrhage varying de-grees were randomized into two groups by concealing their admission numbers, 41 cases in each group. The control group were used the traditional method combing acupuncture, massage and rehabilitation nursing, while besides re-ceiving the treatment like the control group, the observation group were given comprehensive rehabilitation nursing according the TCM syndrome differentiation. The patient's activities of daily living and motion function were evalu-ated by modified MBI and FMA before nursing and after nursing for 3 months, 6 months and 12 months in the two groups; meanwhile the comparisons of secondary disturbance rate occurring in the patients were made in the re-search. Results: The scores of MBI and FMA in the patients of the observation group after treatment and nursing for 3 months, 6 months and 12 months were higher than that in the control group; the occurrence rates of shoulder-hand syndrome, shoulder pain, arthrogryposis of shoulder and shoulder joint subluxation in the observation group were 26.83%, 19.51%, 53.66% and 9.76% respectively, the secondary disturbance rates occurring in the patients of the observation group were markedly lower than the control group and the differences had statistical meaning in the two groups (P<0.05). Conclusion: The process of treating and nursing the patients suffering from limb hemiplegia be-cause of hypertensive cerebral hemorrhage is long and slow. The comprehensive rehabilitation nursing aiming to pa-tients' conditions and psychological state can decrease the secondary disturbance, shorten rehabilitating time and im-prove their daily-life capacity.
