Abstract:

Objective　To explore the effect of balance cupping therapy combined with traditional Chinese medicine nursing on the life quality of patients with hemiplegia after stroke of Fengtan Zuluo type. Methods　This was a retrospective study. Seventy-eight patients with hemiplegia after stroke of Fengtan Zuluo type treated at Shaanxi Hospital of Traditional Chinese Medicine from January to December 2023 were selected. They were divided into an experimental group and a control group according to the treatment methods, with 39 cases in each group. There were 19 males and 20 females in the experimental group; they were (57.68±9.34) years old; their disease course was (4.52±1.21) months. There were 18 males and 21 females in the control group; they were (57.74±9.34) years old; their disease course was (4.56±1.13) months. The control group took traditional Chinese medicine nursing, and the experimental group traditional Chinese medicine nursing and balance cupping therapy. All the patients were treated for 3 weeks. The neurological deficits [National Institute of Health Stroke Scale (NIHSS)], motor function [Fugl-Meyer Functional Assessment Scale (FM)], and scores of Chronic Disease Self-Efficacy Scales (CDES) were compared between the two groups by t and χ² tests. Results　Before the intervention, the scores of NIHSS, FM, and CDES in the control group were (44.01±4.98), (57.05±6.09), and (52.91±4.81), and those in the experimental group (43.26±5.21), (58.23±5.16), and (53.37±5.11), with no statistical differences between the two groups (all P>0.05). After the intervention, the scores of NIHSS, FM, and CDES in the control group were (35.46±5.17), (60.34±3.11), and (42.35±5.11), and those in the experimental group (23.34±6.48), (63.35±3.45), and (32.25±4.25), with statistical differences between the two groups (all P<0.05). Conclusion　Balance cupping therapy combined with traditional Chinese medicine nursing for patients with stroke of Fengtan Zuluo type can reduce their nerve deficit, and improve their motor function and self-management ability

Key words:

Stroke, Fengtan Zuluo type, Hemiplegia, Balance cupping therapy, Traditional Chinese medicine nursing, Life quality

摘要：

目的　探究平衡罐联合中医特色护理对改善风痰阻络型中风后偏瘫患者生活质量的作用。方法　本文为回顾性研究。选取陕西省中医医院2023年1月至12月收治的78例风痰阻络型中风后偏瘫患者，按干预方法不同将其分为试验组39例、对照组39例。试验组中男19例、女20例，年龄（57.68±9.34）岁，病程（4.52±1.21）个月。对照组中男18例、女21例，年龄（57.74±9.34）岁，病程（4.56±1.13）个月。对照组采用中医特色护理干预，试验组在对照组的基础上加用平衡罐治疗，均干预3周。对比两组患者干预前后的神经缺损情况［美国国立卫生研究院卒中量表（NIHSS）］、运动功能［Fugl-Meyer功能评估量表（FM）］、慢性病自我效能量表（CDES）。组间比较采用t、χ²检验。结果　干预前，对照组NIHSS评分（44.01±4.98）分、FM评分（57.05±6.09）分、CDES评分（52.91±4.81）分，试验组分别为（43.26±5.21）分、（58.23±5.16）分、（53.37±5.11）分，两组比较差异均无统计学意义（均P>0.05）；干预后，对照组NIHSS评分为（35.46±5.17）分、FM评分（60.34±3.11）分、CDES评分（42.35±5.11）分，试验组分别为（23.34±6.48）分、（63.35±3.45）分、（32.25±4.25）分，两组比较差异均有统计学意义（均P<0.05）。结论　平衡罐联合中医特色护理可以降低风痰阻络型中风后偏瘫患者的神经缺损情况，改善运动功能，并提高自我管理能力。

关键词:

中风, 风痰阻络型, 偏瘫, 平衡罐, 中医特色护理, 生活质量