点穴疗法联合雷火灸护理对缺血性脑卒中偏瘫病人康复效果的观察

Effect of the acupressure therapy combined with Lei huo moxibustion moxibustion nursing on the rehabilitation of ischemic stroke patients complicated with hemiplegia

目的:观察点穴疗法联合雷火灸护理对气虚血瘀型缺血性脑卒中偏瘫病人肢体功能康复的效果。方法:选取住院治疗的60例气虚血瘀型缺血性脑卒中偏瘫病人,采用随机数字表法分为对照组和观察组,各30例。对照组采用常规治疗与护理,观察组采用常规治疗并结合点穴疗法联合雷火灸治疗与护理。观察2组病人治疗后肢体功能恢复情况、中医证候疗效及日常生活活动能力改善情况。结果:治疗后观察组总有效率差明显高于对照组(P<0.01)。治疗后观察组中医证候各项积分均低于治疗前(P<0.05),观察组中医证候半身不遂、口舌歪斜、感觉异常、气短乏力、面色白光、自汗出积分均低于对照组(P<0.05~P<0.01)。治疗后2组病人患肢肌力差异有统计学意义(P<0.05),观察组5级患肢肌力例数多于对照组(P<0.05)。治疗后2组病人Fugl-Meyer评分、Barthel指数均高于治疗前(P<0.05),且观察组Fugl-Meyer评分和Barthel指数均明显高于对照组(P<0.01)。结论:点穴疗法联合雷火灸护理对缺血性脑卒中偏瘫肢体功能康复效果好,可明显提高病人生活质量。

Objective:To observe the effects of acupressure therapy combined with Lei huo moxibustion moxibustion nursing on the limb function rehabilitation of hemiplegia patients with ischemic stroke of Qi-deficiency and blood-stasis.Methods:Sixty hemiplegia patients with ischemic stroke of Qi-deficiency and blood-stasis were divided into the control group and observation group according to random number table method.The control group was treated with conventional treatment and nursing,while the observation group was treated with conventional treatment combined with acupressure therapy and Lei huo moxibustion moxibustion treatment and nursing.The recovery of limb function,improvements of traditional Chinese medicine(TCM)syndrome efficacy and abilities of daily activities in two groups were observed after treatment.Results:After treatment,the total effective rate in observation group was significantly higher than that in control group(P<0.01).The score of various points of TCM syndrome in observation group after treatment was lower than that before treatment(P<0.05).The scores of hemiplegia,mouth skew,paresthesia,shortness of breath,fatigue,pale complexion and spontaneous sweating in observation group were lower than those in control group(P<0.05 to P<0.01).After treatment,the difference of the muscle strength of affected limb was significant between two groups(P<0.05).The number of grade 5 muscle strength of affected limb in observation group was more than that in control group(P<0.05).After treatment,the Fugl-Meyer score and Barthel index in two groups were higher than those before treatment(P<0.05),and the Fugl-Meyer score and Barthel index in observation group were significantly higher than those in control group(P<0.05).Conclusions:Acupressure therapy combined with Lei huo moxibustion moxibustion nursing can effectively promote the functional recovery of affected limb of hemiplegia patients with ischemic stroke,and significantly improve the patients′quality of life.