分析中医康复护理干预在改善脑卒中急性期患者运动功能中的应用效果

Analysis on the Application Effect of Traditional Chinese Medicine Rehabilitation Nursing Intervention in Improving the Motor Function of Patients with Acute Stroke

目的分析中医康复护理干预在脑卒中急性期患者中的应用效果。方法选取2018年7月-2020年7月经临床确诊并在该院进行治疗的脑卒中急性期患者62例,以随机双盲法分为对照组(n=31,常规康复护理)和观察组(n=31,常规康复护理联合中医康复护理)。对比两组患者神经功能、肢体功能、综合功能、日常生活能力和生活质量评分。结果经不同康复护理方法干预后,观察组患者美国国立卫生院神经功能缺损评分(NIHSS)评分(12.38±2.17)分显著低于对照组(20.93±4.41)分,差异有统计学意义(t=9.685,P<0.05);观察组上肢、下肢FMA评分分别为(37.45±8.74)分、(23.52±4.75)分,均显著高于对照组(21.32±8.53)分、(15.12±4.51)分,差异有统计学意义(t=7.353、7.140,P<0.05);观察组患者功能综合评定量表(FCA)评分、日常生活活动能力(ADL)评分分别为(69.23±6.94)分、(84.45±6.22)分均显著高于对照组(50.35±7.16)分、(65.85±6.38)分,差异有统计学意义(t=10.542、11.622,P<0.05);观察组患者的健康状况调查简表(SF-36)总评分(69.39±4.91)分显著高于对照组(55.03±5.57)分,差异有统计学意义(t=10.767,P<0.05)。结论中医康复护理干预能够显著改善脑卒中急性期患者的神经缺损功能,从而有效改善患者的肢体运动功能,提升患者的生理自理能力,改善患者的生活质量。

Objective To analyze the effect of traditional Chinese medicine rehabilitation nursing intervention in patients with acute stroke.Methods A total of 62 patients with acute stroke who were clinically diagnosed and treated in the hospital from July 2018 to July 2020 were selected and divided into control group(n=31,routine rehabilitation care)and observation group by random double-blind method(n=31,conventional rehabilitation nursing combined with traditional Chinese medicine rehabilitation nursing),the two groups of patients were compared with the scores of neurological function,limb function,comprehensive function,ability of daily living and quality of life.Results After intervention by different rehabilitation nursing methods,the NIHSS score(12.38±2.17)points of the observation group was significantly lower than that of the control group(20.93±4.41)points,the difference was statistically significant(t=9.685,P<0.05);the FMA score of the upper and lower limbs of the observation group respectively(37.45±8.74)points and(23.52±4.75)points were significantly higher than the control group(21.32±8.53)points,(15.12±4.51)points,the difference was statistically significant(t=7.353,7.140,P<0.05);patients in the observation group FCA score and ADL score were(69.23±6.94)points and(84.45±6.22)points,respectively,which were significantly higher than the control group(50.35±7.16)points and(65.85±6.38)points,the difference was statistically significant(t=10.542,11.622,P<0.05).The total score of SF-36(69.39±4.91)points of the observation group was significantly higher than that of the control group(55.03±5.57)points,the difference was statistically significant(t=10.767,P<0.05).Conclusion Traditional Chinese medicine rehabilitation nursing intervention can significantly improve the neurological deficit function of patients with acute stroke,thereby effectively improving the patient’s limb motor function,enhancing the patient’s physiological self-care ability,and improving the patient’s quality of life.