红炉拨筋疗法联合早期肺康复对脑卒中患者肺功能及生存质量的影响

Effect of red furnace tendon therapy combined with early pulmonary rehabilitation on lung function and quality of life in stroke patients

目的探讨红炉拨筋疗法联合早期肺康复对脑卒中患者肺功能及生存质量的影响。方法选取2021年4月至2022年12月广东省第二中医院收治的64例脑卒中患者为研究对象,采用随机数字表法分为两组,各32例。对照组男16例、女16例,年龄45~77(61.34±1.35)岁,采用早期肺康复训练;观察组男16例、女16例,年龄45~76(61.54±1.32)岁,给予红炉拨筋疗法联合早期肺康复。比较两组患者肺功能、生存质量、康复效果、情绪状态。统计学方法采用t检验。结果两组用力肺活量(FVC)、第一秒用力呼气量(FEV_(1))指标均较护理前提高,且观察组均高于对照组[(2.71±0.90)L比(2.13±0.80)L、(1.71±0.71)L比(1.33±0.44)L],差异均有统计学意义(t=2.725、2.574,均P<0.05)。生活质量简明调查表(SF-36)中8个维度评分比较,观察组均高于对照组(均P<0.05)。两组Fugl-Meyer运动功能评估量表(FMA)上肢、FMA下肢评分均较护理前提高,且观察组高于对照组,美国国立卫生研究院卒中量表(NIHSS)评分较护理前降低,且观察组低于对照组[(55.87±2.12)分比(50.21±2.28)分、(25.17±2.68)分比(20.25±2.74)分、(7.09±0.94)分比(10.23±1.42)分],差异均有统计学意义(t=10.284、7.262、10.431,均P<0.05)。两组护理后30 d的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较护理前降低,且观察组均低于对照组,[(27.34±1.87)分比(33.53±1.99)分、(34.75±2.82)分比(37.54±3.01)分],差异均有统计学意义(t=12.823、3.826,均P<0.05)。结论红炉拨筋疗法联合早期肺康复可加速脑卒中患者肺功能的恢复,生存质量明显提高.

Objective To investigate the effect of red furnace tendon therapy combined with early pulmonary rehabilitation on lung function and quality of life in stroke patients.Methods Sixty-four stroke patients admitted to Guangdong Provincial Second Traditional Chinese Medicine Hospital from April 2021 to December 2022 were selected as the study objects,and were divided into a control group and an observation group by the random number table method,with 32 cases in each group.There were 16 males and 16 females in the control group;they were 45-77(61.34±1.35)years old.There were 16 males and 16 females in the control group;they were 45-76(61.54±1.32)years old.The control group took early pulmonary rehabilitation training,and the observation group took red furnace tendon therapy and early pulmonary rehabilitation.The lung function,quality of life,rehabilitation effects,and emotional status were compared between the two groups.t test was applied.Results The forced vital capacity(FVC)and first second forced expiratory volume(FEV_(1))were higher after than before the nursing in both groups;the FVC and FEV1 after the nursing in the observation group were higher than those in the control group[(2.71±0.90)L vs.(2.13±0.80)L and(1.71±0.71)L vs.(1.33±0.44)L],with statistical differences(t=2.725 and 2.574;both P<0.05).The scores of the 8 dimensions of 36-item Short-Form(SF-36)after the nursing in the observation group were higher than those in the control group(all P<0.05).The scores of Fugl-Meyer Motor Function Assessment Scale(FMA)of upper and lower limbs were higher after than before the nursing in both groups;the scores after the nursing in the observation group were higher than those in the control group[(55.87±2.12)vs.(50.21±2.28)and(25.17±2.68)vs.(20.25±2.74)],with statistical differences(t=10.284 and 7.262;both P<0.05).The scores of US National Institutes Stroke Scale(NIHSS)in both groups were lower after than before the nursing;the score in the observation group was lower than that in the control group[(7.09±0.94)vs.(10.23±1.42)],with a statistical difference(t=10.431;P<0.05).The scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in both groups were lower 30 d after than before the nursing;the scores 30 d after the nursing in the observation group were lower than those in the control group[(27.34±1.87)vs.(33.53±1.99)and(34.75±2.82)vs.(37.54±3.01)],with statistical differences(t=12.823 and 3.826;both P<0.05).Conclusion Red furnace tendon therapy combined with early pulmonary rehabilitation for stroke patients can accelerate their recovery of pulmonary function and improve their quality of life.