舒筋活络洗剂沐足对中风后疲劳患者生活质量及疲劳症状的影响

Effect of Regulating Channels and Activating Collateral Lotions on Quality of Life and Fatigue Symptoms of Patients with Post-stroke Fatigue

目的:探讨舒筋活络洗剂沐足对中风后疲劳患者生活质量及疲劳症状的影响。方法:选取2014年10月—2016年10月广东省中医院康复科收治住院的中风后疲劳患者100例,按照随机数字表法分为中药沐足组(沐足组)和常规护理组,每组各50例。沐足组给予舒筋活络洗剂沐足(每晚睡前1次,每次30 min)联合综合康复训练(每日2次,连续2周)及常规护理治疗,常规护理组给予综合康复训练及常规护理治疗。2组治疗周期均为2周。治疗前后分别采用疲劳严重程度量表(FSS)、多维疲劳问卷(MFI-20)及中风生存质量量表(SS-QOL)中精力评分评定患者疲劳程度及生活质量改善程度。结果:治疗2周后,2组FSS及MFI-20评分明显低于治疗前,差异有统计学意义(P<0.05),SS-QOL精力评分明显高于治疗前,差异有统计学意义(P<0.05);2组治疗后比较,沐足组FSS、MFI-20评分明显低于常规护理组,差异均有统计学意义(P<0.05),SS-QOL精力评分明显高于常规护理组,差异有统计学意义(P<0.05)。结论:综合康复训练结合常规护理基础上,辅以舒筋活络洗剂沐足能够有效缓解中风后疲劳症状,提高生活质量,其疗效优于综合康复训练结合常规护理。

Objective: To explore the effect of Regulating channels and, activating collateral lotions on the quality of life and fatigue symptoms of patients with post-stroke fatigue (PSF). Methods: A retrospective analysis of 100 patients with post-stroke fatigue who were admitted to the Rehabilitation Department of Guangdong Provincial Hospital of Chinese Medicine from October 2014 to October 2016 and met the inclusion criteria of this study were divided into the treatment group and control group (50 cases in each group) according to the random number table method. The control group was treated with routine nursing care and comprehensive rehabilitation training, while the treatment group was additionally treated with Regulating channels and activating collateral lotions and each group was observed for two weeks. Before and after treatment, the fatigue severity scale (FSS), the multidimensional fatigue inventory- 20 (MFI-20) and the energy score of the stroke-specific quality of life (SS-QOL-E) were used to assess the degree of fatigue and the improvement in quality of life. Results: After the treatment, the FSS score and MFI-20 score of the two groups were significantly lower, while SS-QOL-E score was significantly higher than that of before the treatment (P<0.05). After the treatment, the FSS score and MFI-20 score of the treatment group were significantly lower, and the SS-QOL-E score was significantly higher than that of the control group (P<0.05). Conclusion: On the basis of comprehensive rehabilitation training combined with routine nursing, supplemented with Regulating channels and activating collateral lotions can effectively alleviate the symptoms of fatigue after stroke and improve the quality of life, and the curative effect is better than that of comprehensive rehabilitation training combined with routine nursing.