中医护理适宜技术联合八段锦对老年脑卒中后痉挛性偏瘫患者的干预效果

Effect of Appropriate TCM Nursing Techniques Combined with Eight Section Brocade on Limb Motor Function and Exercise Endurance of Elderly Patients with Spasmodic Hemiplegia After Stroke

目的探讨针对老年脑卒中后痉挛性偏瘫(SHAS)患者实施中医护理适宜技术+八段锦的效果。方法选择2020年3月—2023年2月本院收治的84例老年SHAS患者为研究对象,按随机数字表法将其分为两组,每组42例。对照组实施常规护理,观察组实施中医护理适宜技术与八段锦联合的护理方式,两组均持续护理2个月。对比两组护理前后肢体运动功能、运动耐力、痉挛程度及日常生活能力。结果护理后,与对照组相比,观察组Fugl-Meyer肢体功能评估量表(FMA)评分较高(P<0.05),观察组6min步行试验(6MWT)水平较高(P<0.05),观察组痉挛程度较轻(P<0.05),观察组日常生活能力指数量表(ADL)评分较高(P<0.05)。结论针对老年SHAS患者实施中医护理适宜技术+八段锦,可促进其肢体运动功能恢复,提升其运动耐力,减轻其痉挛程度,提高其日常生活能力。

Objective To explore effect of appropriate TCM nursing techniques+Eight Section Brocade on elderly patients with spastic hemiplegia after stroke(SHAS).Methods The paper chose 84 elderly patients with SHAS in our hospital from March 2020 to February 2023,and divided them into two groups with random number table method.Control group(42 cases)was treated with routine nursing,while observation group(42 cases)with appropriate TCM nursing techniques combined with Eight Section Brocade.Both groups was treated with continuous nursing for 2 months.Limb motor function,exercise endurance,spasticity level,and daily living ability was compared between two groups before and after nursing.Results After nursing,observation group had higher Fugl Meyer Physical Function Assessment(FMA)scores than control group,(P<0.05).After nursing,observation group had higher level of 6-minute walking test(6MWT)guidelines than control group,(P<0.05).After nursing,observation group had milder spasticity than control group,(P<0.05).After nursing,observation group had higher ADL scores than control group,(P<0.05).Conclusion Appropriate traditional Chinese medicine nursing techniques and Eight Section Brocade can promote recovery of limb motor function,improve exercise endurance,reduce spasticity,and improve daily living abilities of elderly SHAS patients.