关键词:

脑卒中, 中药涂擦, 康复训练, 疼痛程度, 上肢运动能力, 生活自理能力

Abstract:

Objective　To explore the effects of traditional Chinese medicine rubbing combined with rehabilitation training intervention on the degree of pain, upper limb motor ability and self-care ability of life of stroke patients. Methods　A total of 128 stroke patients admitted to Yan'an University Xianyang Hospital from January 2023 to December 2024 were selected as the study subjects. Using the computer randomization method, the patients were divided into the control group and the study group, with 64 cases in each group. There were 39 males and 25 females in the control group, aged (58.64±7.49) years, course of the disease (29.46±4.97) days. There were 37 males and 27 females in the study group, aged (58.27±7.31) years, course of the disease (29.13±4.52) days. The control group received rehabilitation training intervention, while the study group received combined intervention of traditional Chinese medicine rubbing in addition to the intervention of the control group. Both groups were subjected to continuous intervention for 3 months. The neurological function [National Institutes of Health Stroke Scale (NIHSS)], degree of pain [Visual Analogue Scale for Pain (VAS)], upper limb motor ability [Fugl-Meyer Motor Assessment for Upper Limbs (FMA-UE), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT)], and self-care ability of life [Modified Barthel Index (MBI)] were compared before and after the intervention between the two groups. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　After the intervention, the NIHSS score of the study group was lower than that of the control group [(10.01±2.43) points vs. (13.85±3.27) points] (P<0.05); the VAS score of the study group was lower than that of the control group [(2.05±0.42) points vs. (3.64±0.83) points] (P<0.05); the FMA-UE, ARAT, and WMFT scores of the study group were all higher than those of the control group [(45.75±6.29) points vs. (34.64±5.04) points, (30.21±5.82) points vs. (22.45±4.56) points, (50.87±5.25) points vs. (36.42±5.24) points] (all P<0.05); the MBI score of the study group was higher than that of the control group [(81.35±7.96) points vs. (70.18±7.64) points] (P<0.05). Conclusion　The combination of traditional Chinese medicine rubbing and rehabilitation training can effectively improve the neurological function of stroke patients, reduce the degree of pain, enhance the upper limb motor ability, and promote the recovery of self-care ability of life.

Key words:

Stroke, Traditional Chinese medicine rubbing, Rehabilitation training, Degree of pain, Upper limb motor ability, Self-care ability of life