中药湿热敷联合良肢位摆放预防中风后肩手综合征护理观察

Nursing Observation on Traditional Chinese Medicine Dampness-heat Compress Combined with Good Limb Placement in the Prevention of Shoulder-Hand Syndrome after Apoplexy

目的探讨中药湿热敷联合良肢位摆放预防中风后肩手综合征(SHS)的护理效果。方法选择2018年2月—2019年2月诊治的80例中风偏瘫患者作为研究对象,随机分为对照组和观察组,各40例。对照组实施良肢位摆放,观察组在对照组基础上实施中药湿热敷,比较2组患者疼痛评分、上肢运动功能及SHS发生率。结果护理后,与对照组相比,观察组VAS评分及SHS发生率均降低,FMA评分较高,差异有统计学意义(P<0.05)。结论中药湿热敷联合良肢位摆放在预防中风后SHS中效果显著,可有效减轻患者疼痛感,利于恢复上肢运动功能。

Objective To explore the nursing effect of traditional Chinese medicine dampness-heat compress combined with good limb placement in the prevention of shoulder-hand syndrome(SHS)after apoplexy.Methods From February 2018 to February 2019,80 patients with stroke hemiplegia were randomly divided into two groups:control group(n=40)and observation group(n=40).The patients in the control group were treated with good limb placement,and the patients in the observation group were treated with dampness-heat compress on the basis of the control group.The pain scores,upper limb motor function and the incidence of SHS were compared between the two groups.Results After nursing,the VAS score and the incidence of SHS in the observation group were lower than those in the control group,and the FMA score was higher than that in the control group.There was statistically significant(P<0.05).Conclusion Traditional Chinese medicine dampness-heat compress combined with good limb placement is effective in preventing SHS after apoplexy,which can effectively relieve pain and restore upper limb motor function.