早期高压氧辅助中西医特色康复护理对老年脑梗死后偏瘫患者肌力恢复、肢体功能的影响

Effect of Early Hyperbaric Oxygen Assisted Rehabilitation Nursing with Chinese and Western Medicine Characteristics on Muscle Strength Recovery and Limb Function in Elderly Patients with Hemiplegia After Cerebral Infarction

目的:探讨早期高压氧与中西医特色康复护理联合应用对老年脑梗死后偏瘫患者肌力及肢体功能的影响。方法:选取2022年3月—2023年3月驻马店市中医院收治的60例老年脑梗死后偏瘫患者作为研究对象,按随机数表法将其分为观察组和对照组,每组各30例。对照组行早期高压氧干预,观察组在对照组基础上联合中西医特色康复护理干预,两组患者均干预30 d。比较两组患者护理满意度、肌力恢复、肢体运功功能、血管内皮功能及神经功能情况。结果:观察组患者护理满意度高于对照组,差异有统计学意义(χ^(2)=4.320,P<0.05);观察组患者上肢肌力评分、下肢肌力评分、Fugl-Meyer运动功能评定量表(FMA)评分、降钙素基因相关肽(CGRP)水平、一氧化氮(NO)水平高于对照组;内皮素(ET)水平、神经功能缺损评分量表(NIHSS)评分低于对照组,差异有统计学意义(t=7.298、6.468、7.695、6.410、8.048、13.87、10.370,P<0.05)。结论:早期高压氧联合中西医特色康复护理可有效促进脑梗死后偏瘫患者肌力恢复,改善其肢体功能及血管内皮功能,促进神经功能恢复,护理满意度较高。

Objective:To explore the effect of the combination of early hyperbaric oxygen,and traditional Chinese and western medicine rehabilitation nursing on muscle strength and limb function in elderly patients with hemiplegia after cerebral infarction.Methods:60 elderly patients with hemiplegia after cerebral infarction were selected and admitted to Zhumadian Traditional Chinese Medicine Hospital from March 2022 to March 2023.They were divided into 2 groups according to random number table method.The control group received early hyperbaric oxygen intervention,the observation group was assisted with traditional Chinese and western medicine characteristic rehabilitation nursing intervention.The two groups were intervened for 30 days.Nursing satisfaction,muscle strength recovery,limb function,vascular endothelial function and nerve function were compared between the two groups.Results:The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.320,P<0.05).Upper limb muscle strength score,lower limb muscle strength score,Fugl-Meyer Motor Function Rating Scale(FMA)score,calcitonin gene-related peptide(CGRP)level,nitric oxide(NO)level in observation group were higher than those in control group;Endothelin(ET)levels and neurological impairment scale(NIHSS)scores were lower than those of control group,and the differences were statistically significant(t=7.298,6.468,7.695,6.410,8.048,13.870,10.370;P<0.05).Conclusion:The combination of early hyperbaric oxygen and rehabilitation nursing with Chinese and western medicine characteristics can effectively promote the recovery of muscle strength,improve limb function,improve vascular endothelial function,promote the recovery of menstrual function,and improve nursing satisfaction of patients with hemiplegia after cerebral infarction.