刮痧联合刺络拔罐在脑梗死偏瘫护理中的应用

Application of Scraping Combined with Puncture and Cupping in Nursing of Patients with Hemiplegia after Cerebral Infarction

目的探析刮痧联合刺络拔罐在脑梗死偏瘫患者护理中的干预效果。方法选取南阳医学高等专科学校第二附属医院2020年1月—2021年2月收治的脑梗死偏瘫患者76例,以随机数字表法分为对照组和观察组各38例。对照组接受康复锻炼+刮痧干预,观察组于对照组基础上加用刺络拔罐;两组均持续干预4个疗程;比较两组干预后临床疗效、行走能力(平均步幅宽、平均步幅长)以及运动及肢体痉挛情况(简易运动功能量表[FMA]、肢体痉挛情况[MAS])。结果干预后,观察组总有效率高于对照组(P<0.05);干预后,两组平均步幅宽小于干预前,平均步幅长大于干预前,观察组平均步幅宽小于对照组,平均步幅长大于对照组(P<0.05);两组患者FMA评分均高于干预前,MAS评分低于干预前,观察组FMA评分高于对照组,MAS评分低于对照组(P<0.05)。结论刮痧联合刺络拔罐在脑梗死偏瘫患者护理中应用效果显著,可有效改善患者行走能力,缓解肢体痉挛情况,提高脑梗死偏瘫患者运动功能。

Objective To explore the intervention effect of scraping combined with puncture and cupping in the nursing of patients with hemiplegia after cerebral infarction.Methods 76 patients with hemiplegia after cerebral infarction treated in The Second Affiliated Hospital of Nanyang Medical College from January 2020 to February 2021 were selected as the research subjects.They were divided by a random number table method into 38 cases in the control group and 38 cases in the observation group.The control group received rehabilitation exercise+scraping intervention,and the observation group added puncture and cupping on the basis of the control group;patients in both groups had 4 courses of continuous intervention;the clinical efficacy,walking ability(average stride width,average stride length)and motor and limb spasm(FMA,MAS)of the two groups after four courses of intervention were compared.Results After 4 courses of intervention,the total effective rate of the observation group was higher than that of the control group(P<0.05),after intervention,the average step width was smaller,and the average step length was larger of both groups than before intervention.The average step width was smaller,and the average step length was larger of the observation group than the control group(P<0.05),the FMA score was higher,and the MAS score was lower of both groups than before intervention.The FMA score was higher,and the MAS score was lower of the observation group than the control group(P<0.05).Conclusion Scraping combined with puncture and cupping has a significant effect in the nursing of patients with hemiplegia after cerebral infarction.It can effectively improve the walking ability of patients,alleviate limb spasm and improve the motor function of patients with hemiplegia after cerebral infarction.