中药熏蒸督脉膀胱经联合康复护理治疗卒中后肢体痉挛临床观察

Clinical Observation on Chinese Medicine Fumigation of Governor Vessel and Bladder Meridian Combined with Rehabilitation Nursing on Limb Spasm after Stroke

目的 观察中药熏蒸督脉膀胱经联合康复护理对卒中后肢体痉挛患者的影响。方法 选取江西省遂川县人民医院卒中后肢体痉挛患者60例,随机分为2组,各30例,对照组接受常规护理治疗,试验组行中药熏蒸督脉膀胱经联合康复护理治疗,对比2组治疗前后患者运动功能评分、生活自理能力评分、肢体痉挛程度评分。结果 治疗前,2组患者运动功能评分、生活自理能力评分、肢体痉挛程度无显著差别,差异无统计学意义(P>0.05)。治疗后,试验组运动功能评分、生活自理能力评分均明显升高,且试验组指标显著高于对照组,差异有统计学意义(P<0.05)。治疗后,试验组上下肢痉挛程度评分均明显降低,且试验组指标显著低于对照组,差异有统计学意义(P<0.05)。结论 中药熏蒸督脉膀胱经联合康复护理应用于卒中后肢体痉挛,可明显改善患者运动功能,治疗效果显著,安全性好,多加推广应用,有助于提高治疗效果,减少不良反应的发生。

Objective To observe the effect of Chinese medicine fumigation of governor vessel and bladder meridian combined with rehabilitation nursing on patients with limb spasm after stroke. Methods Sixty patients with limb spasticity after stroke in Suichuan County People’s Hospital were selected and randomly divided into groups, with 30 cases in each group. The control group received conventional nursing treatment mode, and the experimental group received Chinese medicine fumigation of governor vessel and bladder meridian combined with rehabilitation nursing treatment mode. The motor function scores, self-care ability score, degree of limb spasm of the two groups were compared before and after treatment. Results Before treatment, motor function scores of patients in the two groups. There was no significant difference in self-care ability score and limb spasm degree(P>0.05). After treatment, motor function score of experimental group. The scores of self-care ability were significantly increased, and the indexes of the experimental group were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). After treatment, the score of spasm degree of upper and lower limbs in the experimental group was significantly reduced, and the index of the experimental group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Chinese medicine fumigation of the governor vessel and bladder meridian combined with rehabilitation nursing for post-stroke limb spasm can significantly improve the patient’s motor function, the treatment effect is significant, and the safety is good. More popularization and application will help improve the treatment effect and reduce the occurrence of adverse reactions.