康复训练结合中医特色护理在缺血性脑卒中后肩手综合征患者中的应用效果

The application effect of rehabilitation training combined with traditional Chinese medicine characteristic nursing in patients with shoulder-hand syndrome after ischemic stroke

目的探讨康复训练结合中医特色护理在缺血性脑卒中后肩手综合征患者中的应用效果。方法回顾性选择2022年3月至2023年3月华中科技大学同济医学院附属同济医院收治的90例缺血性脑卒中后肩手综合征患者资料进行分析。根据护理方法的不同分为对照组与观察组,每组45例。其中对照组采用常规护理,观察组实施康复训练结合中医特色护理。比较2组患者的日常生活能力、上肢运动功能、手肿胀程度、手功能、疼痛程度及有效率。结果护理7 d及护理1个月后,观察组的改良Barthel指数、简氏Fugl-Meyer评定量表(FMA)上肢功能评分、简单手功能检查(STEF)得分均明显高于对照组,肿胀程度均轻于对照组(P均<0.05),且2组均优于护理前(P均<0.05)。护理1个月后,观察组屈曲、外展、外旋及内旋的疼痛视觉模拟量表(VAS)评分均低于对照组(P均<0.05),且2组均较护理前降低(P均<0.05)。观察组的总有效率高于对照组(P<0.05)。结论康复训练结合中医特色护理应用于缺血性脑卒中后肩手综合征患者的临床护理中,能够有效改善患者的上肢运动功能、手功能,减轻手肿胀程度和疼痛,提高其日常生活能力及有效率。

Objective To explore the application effect of rehabilitation training combined with traditional Chinese medicine characteristic nursing in patients with shoulder-hand syndrome after ischemic stroke.Methods Retrospective analysis was conducted on the data of 90 patients with shoulder-hand syndrome after ischemic stroke admitted to Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from March 2022 to March 2023.According to different nursing methods,they were divided into a control group and an observation group,with 45 cases in each group.The control group received routine nursing,and the observation group received rehabilitation training combined with traditional Chinese medicine characteristic nursing.The daily living ability,upper limb motor function,degree of hand swelling,hand function,degree of pain and effective rate of the two groups were compared.Results After 7 days of nursing and 1 month of nursing,the modified Barthel index,Fugl-Meyer Assessment(FMA)upper limb function score,and Simple Test for Evaluating Hand Function(STEF)score of the observation group were significantly higher than those of the control group.The degree of swelling of the observation group was lower than that of the control group(all P<0.05),and the above scores of both groups were better than those before nursing(all P<0.05).After 1 month of nursing,the Visual Analogue Scale(VAS)scores for flexion,abduction,external rotation and internal rotation pain in the observation group were lower than those in the control group(all P<0.05),and the scores in both groups decreased compared to before nursing(all P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion The application of rehabilitation training combined with traditional Chinese medicine characteristic nursing in the clinical nursing of patients with shoulder-hand syndrome after ischemic stroke can effectively improve their upper limb motor function and hand function,reduce the degree of hand swelling and pain,and improve their daily living ability and efficiency.