中西医结合护理 (Oct 2021)

Effect of cupping therapy with Chinese herbal decoction in the treatment of extremity dysfunction among patients with wind-phlegm obstruction type stroke (中药水罐治疗风痰阻络型中风患者肢体功能障碍效果观察)

  • MA Xiaoxu (马晓旭),
  • GENG Qingwen (耿庆文),
  • ZHOU Dengfang (周登芳),
  • TANG Ling (唐玲),
  • LIN Baoshan (林宝山)

DOI
https://doi.org/10.55111/j.issn2709-1961.202110021
Journal volume & issue
Vol. 7, no. 10
pp. 24 – 27

Abstract

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Objective To observe the effect of cupping therapy with Chinese herbal decoction in the treatment of extremity dysfunction among patients with wind-phlegm obstruction type stroke. Methods Totally 90 patients with wind-phlegm obstruction type stroke were randomly divided into the control group and observation group, with 45 cases in each group. All patients received routine treatment and nursing, and those in the observation group were given cupping therapy with Chinese herbal decoction in treating extremity dysfunction. The intervention effect was evaluated by Traditional Chinese Medicine symptom integral. Scores of NIH Stroke Scale (NIHSS), Fugl-Meyer Assessment(FMA)and Barthel Index (BI) were compared between two groups. Results The overall response rate in the observation group was 97. 78%(44/45), which was higher than 80. 00%(36/45) in the control group (P＜0. 01). The FMA score and BI in the observation group were higher than those in the control group ( P＜0. 01 ) , and NIHSS score in the observation group was lower than that in the control group ( P＜0. 01 ). Patients in the observation group had higher dimension scores of Vitality, Role Physical, Role Emotional and Social Functioning compared with those in the control group ( P＜0. 01 ). Conclusion Based on the routine treatment, the cupping therapy with Chinese herbal decoction is effective to relieve the extremity dysfunction among patients with wind-phlegm obstruction type stroke, improve the rehabilitation of neurological and motor function, and improve patient’ quality of life. (目的 观察中药水罐治疗风痰阻络型中风患者肢体功能障的效果。方法 选取2020年7月—2021年7月医院收治的风痰阻络型中风患者90例, 随机分为对照组和观察组, 各45例。2组均予常规基础治疗和护理, 观察组在对照组基础上增加中药水罐治疗。评价2组干预效果, 对比2组美国国立卫生研究所脑卒中评分(NIHSS)、Fugl-Meyer运动功能量表(FMA)评分和Barthel指数(BI)评定结果。结果 观察组总有效率97. 78%(44/45), 高于对照组的80. 00%(36/45), 差异有统计学意义 ( P＜0. 01 )。 观察组FMA评分和BI指数评分高于对照组, NIHSS评分低于对照组, 差异有统计学意义 ( P＜0. 01 )。 观察组患者SF-36量表活力、生理职能、情感职能、社会功能4个维度评分均高对照组, 差异有统计学意义 ( P＜0. 01 )。 结论 在常规治疗基础上, 中药水罐治疗能有效缓解风痰阻络型中风患者肢体功能障, 促进患者神经功能和运动功能康复, 提高患者生活质量。)

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