循经刮痧对卒中后上肢痉挛患者的护理干预效果研究

Study on the intervention effect of meridian circulation and scraping on patients with upper limb spasm after stroke

目的:探讨采用铜砭循经刮痧对卒中后上肢痉挛的影响。方法:该研究为前瞻性设计研究。将2019年5月-2020年12月期间住院治疗的64例卒中后上肢痉挛患者随机分组,分为观察组和对照组,各32例。对照組患者予以基础治疗及康复护理。观察组患者在前者基础上予以铜砭循经刮痧。观察两组上肢痉孪程度、疼痛评分及日常生活自理能力的变化。结果:干预4周后,观察组患者的上肢痉挛程度、疼痛评分较干预前均有明显改善,差异有统计学意义(P<0.05);干预4周后,两组患者日常生活自理能力评分比较,差异具有统计学意义(P<0.05)。结论:铜砭循经刮痧能有效改善卒中后上肢肌痉挛,减轻疼痛,提高患者生活自理能力。

Objective:To investigate the effect of cupping with copper acupuncture on upper limb spasm after stroke.Methods:This study was a prospective design study.A total of 64 patients with upper limb spasm after stroke who were hospitalized from May 2019 to December 2020 were randomly divided into observation group and control group with 32 patients in each group.The control group received basic treatment and rehabilitation nursing.On the basis of the former,the observation group was given copper acupuncture.The changes of upper limb spasticity,pain score and self-care ability in daily life were observed.Results:Alter 4 weeks of intervention,the degree of upper limb spasm and pain score of observation group were significantly improved(P<0.05).After 4 weeks of intervention,the scores of self-care ability in daily life were different between the two groups,with statistical significance(P<0.05).Conclusion:The tongxing meridian scraping can effectively improve the upper limb muscle spasm after stroke,relieve pain and improve the self-care ability of patients.