中医定向透药治疗联合视频播放器示范功能锻炼对缺血性卒中肢体功能康复的影响

Effect of directed penetration of traditional Chinese medicine combined with demonstration of limb function exercise by video player on the recovery of nervous system function in patients with acute ischemic stroke

  • 摘要:
      目的  观察中医定向透药治疗联合视频播放器示范肢体功能锻炼对缺血性脑卒中肢体功能康复的影响。
      方法  选取本科室2018年6—12月收治的46例脑卒中肢体功能障碍患者为对照组, 2019年1—5月收治的46例脑卒中肢体功能障碍患者为观察组。对照组予以常规护理和康复功能锻练,观察组予以中医定向透药治疗联合视频播放器示范肢体功能锻炼。2组疗程均为3周,观察比较简化Fugl-Meyer运动量表评分(FMA)、改良Barthel指数(MBI)、中医证候积分及有效率。
      结果  治疗后, 观察组患者FMA评分、MBI评分显著高于对照组(P < 0.05); 2组治疗后中医证候积分较治疗前均有显著下降(P < 0.05), 且观察组较对照组下降更显著(P < 0.05); 治疗后, 2组有效率比较有显著差异(P < 0.05)。
      结论  中医定向透药治疗联合视频播放器示范肢体功能锻炼可显著提高缺血性脑卒中患者及家属肢体功能锻炼的依从性和掌握度,改善患者肢体运动功能,提高患者生活自理能力。

     

    Abstract:
      Objective  To observe the effect of directed penetration therapy of traditional Chinese medicine combined with demonstration of limb function exercise by video player on the recovery of nervous system function in patients with acute ischemic stroke.
      Methods  A total of 46 stroke patients with limb dysfunction admitted from June to December 2018 in our department were taken as control group. Another 46 stroke patients with limb dysfunction admitted from January to May 2019 in our department were taken as observation group. Routine nursing and rehabilitation exercise were given to the control group, and directed penetration therapy of traditional Chinese medicine combined with demonstration of limb function exercise by video player were given to the observation group. The course of treatment in both groups lasted for 3 weeks. The simplified Fugl-Meyer Scale (FMA) scores, the Modified Barthel Index (MBI) scores, and the TCM syndrome of patients were observed.
      Results  After treatment, FMA scores, MBI scores of the observation group were significantly higher than the control group (P < 0.05), and the TCM symptom score of two group decreased after treatment, and the observation group was significantly lower than the control group (P < 0.05). The clinical efficacy of two groups showed significant difference (P < 0.05).
      Conclusion  Directed penetration therapy of Chinese herbal medicine combined with demonstration of limb function exercise by video player can significantly improve the compliance and mastery of limb function exercise of patients and their family members with ischemic stroke, improve the limb movement function and their self-care ability.

     

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