中医非药物治疗对中风后遗症恢复期患者的影响研究

文章信息/Info

• Title:中医非药物治疗对中风后遗症恢复期患者的影响研究

• 卷期:2024年22卷2期

• 作者:闵元萍

• 江西省靖安县中医院内科  江西宜春，330699

• Author(s):Min Yuanping, Deputy Chief Nurse   Department of Internal Medicine, Jing'an County Hospital of Traditional Chinese Medicine, Yichun, Jiangxi

• stroke sequelae; recovery period; conventional rehabilitation therapy; TCM non-drug therapy; TCM symptom score; neurological function; motor function

• 关键词中风后遗症；恢复期；常规性康复治疗；中医非药物治疗；中医症候积分；神经功能；运动功能

• Keywords: stroke sequelae; recovery period; conventional rehabilitation therapy; TCM non-drug therapy; TCM symptom score; neurological function; motor function

• 摘要:目的：研究中风后遗症恢复期患者中医非药物治疗的效果。方法：回顾性选取2020年2月-2022年2月本院中风后遗症恢复期患者80例，依据治疗方法分为中医非药物治疗组、常规性康复治疗组两组，各40例，统计分析两组中医症候积分、神经功能、运动功能、日常生活能力、生活质量、临床疗效、安全感、舒适度、满意度。结果：中医非药物治疗组患者的口眼歪斜、言语不利、肢体痉挛、偏身麻木、半身不遂评分及总分均低于常规性康复治疗组（P<0.05）。中医非药物治疗组患者的CSS评分低于常规性康复治疗组（P<0.05），FMA评分、BI评分、WHOQOL-100评分均高于常规性康复治疗组（P<0.05）。中医非药物治疗组患者的总有效率90.00%（36/40）高于常规性康复治疗组65.00%（26/40）（χ2=7.169，P<0.05）。中医非药物治疗组患者的安全感评分、舒适度评分、满意度评分均高于常规性康复治疗组（P<0.05）。结论：中风后遗症恢复期患者中医非药物治疗的效果较常规性康复治疗好。                                                                                                                                                                                

• Abstract:  To study the effect of traditional Chinese medicine non-drug treatment in patients with stroke sequelae in the recovery period. Methods: From February 2020 to February 2022, 80 patients with stroke sequelae in the convalescent period of our hospital were retrospectively selected. According to the treatment methods, they were divided into two groups: a traditional Chinese medicine non-drug treatment group and a conventional rehabilitation treatment group, with 40 cases in each group. The two groups were statistically analyzed. Group TCM symptom score, neurological function, motor function, ability of daily living, quality of life, clinical efficacy, sense of security, comfort, satisfaction. Results: The scores and total scores of the patients in the TCM non-drug treatment group were lower than those in the conventional rehabilitation treatment group (P<0.05). The CSS score of the patients in the TCM non-drug treatment group was lower than that of the conventional rehabilitation treatment group (P<0.05), and the FMA score, BI score and WHOQOL-100 score were higher than those of the conventional rehabilitation treatment group (P<0.05). The total effective rate of TCM non-drug therapy group was 90.00% (36/40) higher than that of conventional rehabilitation therapy group 65.00% (26/40) (χ2=7.169, P<0.05). The safety score, comfort score and satisfaction score of the patients in the traditional Chinese medicine non-drug treatment group were higher than those in the conventional rehabilitation treatment group (P<0.05). Conclusion: The effect of traditional Chinese medicine non-drug treatment in patients with stroke sequelae in the convalescent period is better than that of conventional rehabilitation treatment.

  局部脑组织供血障碍是中风的主要诱发因素，会造成脑组织缺血性坏死或软化，进而损伤神经功能，提升致残率及病死率[1]。现阶段，医护人员在积极探索如何将中风患者的生命质量提升。中医认为[2]，中风属于“偏风”、“中经络”等范畴，发病机制分为两个方面，即外因、内因，大部分中风为风寒阻络型，口眼歪斜、偏身麻木等是其主要临床症状。