平衡罐联合八段锦对脑卒中偏瘫患者功能恢复的影响

Effect of balanced cupping combined with Baduanjin on functional recovery of stroke patients with hemiplegia

目的探讨脑卒中偏瘫患者采用平衡罐联合八段锦的康复效果。方法回顾性分析常州市中医医院收治的80例脑卒中偏瘫患者的临床资料,将2019年4月至2020年9月采用常规护理干预的40例脑卒中偏瘫患者划分为对照组,2020年10月至2022年3月采用平衡罐联合八段锦护理干预的40例脑卒中偏瘫患者划分为观察组。比较2组患者的美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数(BI)评分和步行能力。结果护理3周和6周后,2组患者的NIHSS评分均低于护理前,BI评分、FMA上肢功能和FMA下肢功能评分均高于护理前(P均<0.05),且观察组患者的上述评分均优于同期对照组(P均<0.05)。护理6周后,2组患者的NIHSS评分与同组护理3周后相比均明显降低,BI评分、FMA上肢功能和FMA下肢功能评分均明显升高(P均<0.05)。相较于护理前,2组在护理6周后的平衡站立时间更长、步速更快、步长更长(P均<0.05),且观察组均明显优于对照组(P均<0.05)。结论采用平衡罐联合八段锦对脑卒中偏瘫患者实施护理干预,能够改善其神经功能,促进肢体功能恢复,提高步行能力和生活自理能力。

Objective To explore the rehabilitation effect of balanced cupping combined with Baduanjin on the stroke patients with hemiplegia.Methods The clinical data of 80 stroke patients with hemiplegia admitted to Changzhou Hospital of Traditional Chinese Medicine were retrospectively analyzed.The 40 stroke patients with hemiplegia who received routine nursing intervention from April 2019 to September 2020 were included in the control group,and the 40 stroke patients with hemiplegia who received nursing intervention of balanced cupping combined with Baduanjin from October 2020 to March 2022 were included in the observation group.The National Institutes of Health Stroke Scale(NIHSS)scores,Fugl-Meyer Assessment(FMA)scores,Barthel Index(BI)scores,and walking ability were compared between the two groups.Results After 3 and 6 weeks of nursing,the NIHSS scores of the two groups were lower than those before nursing,and the scores of the BI and FMA for upper and lower extremities were higher than those before nursing(all P<0.05).The above scores of the observation group were better than those of the control group(all P<0.05).After 6 weeks of nursing,the NIHSS scores of the two groups were significantly decreased compared with those after 3 weeks of nursing,and the scores of the BI and FMA for upper and lower extremities were significantly increased(all P<0.05).After 6 weeks of nursing,the standing balance time,leg speed,and step length of the two groups were significantly improved compared with those before nursing(all P<0.05),and the observation group was significantly better than the control group(all P<0.05).Conclusion The nursing intervention of balanced cupping combined with Baduanjin for stroke patients with hemiplegia can improve the neurological function,promote the recovery of extremity function,and improve the walking ability and self-care ability.