Abstract:

 Objective　To investigate the effect of Chinese medicine meridian theory on the recovery of neurological function in patients with cerebral infarction. Methods　Ninety-eight patients with cerebral infarction during the rehabilitation period from October 2022 to October 2023 in Xinxiang First People's Hospital were selected for a retrospective study, and they were divided into a control group and a study group according to the treatment time with 49 cases in each group. In the control group, there were 25 males and 24 females, aged 52-76 (61.2±2.4) years. In the study group, there were 23 males and 26 females, aged 54-75 (60.5±2.2) years. The control group was given routine nursing, and the study group was combined with comprehensive intervention measures based on Chinese medicine meridian theory. Both groups were intervened and followed up for 6 months. The neurological function recovery, psychological state, quality of life, and nursing satisfaction were compared between the two groups after intervention. χ² test and t test were used for statistical analysis. Results　Compared to those before intervention, the National Institutes of Health Stroke Scale (NIHSS) scores [(4.65±1.39) and (8.84±1.12) points], Barthel indexes [(74.63±3.36) and (58.86±1.08) points], Fugl-Meyer Motor Function Assessment (FMA) scores [(38.59±3.10) and (31.90±6.15) points], optimism scores [(27.06±9.54) and (23.55±7.15) points], toughness scores [(24.84±8.46) and (21.39±6.74) points], self-strengthening scores [(25.69±8.29) and (21.73±7.00) points], physiological function scores [(65.73±12.51) and (60.82±9.30) points], vitality scores [(58.84±9.44) and (53.20±7.37) points], emotional function scores [(58.41±9.20) and (53.04±7.11) points], general health scores [(64.71±11.59) and (58.33±9.14) points], body function scores [(60.84±10.38) and (54.98±8.04) points], somatic pain scores [(52.51±7.16) and (46.71±6.26) points], social function scores [(62.45±8.76) and (56.71±8.87) points], and mental health scores [(64.14±10.15) and (60.35±7.70) points] in the study group and the control group were improved after intervention, and those in the study group were better than those in the control group, with statistically significant differences (all P<0.05). The satisfaction rate of the study group was 87.76% (43/49), which was higher than that of the control group [61.22% (30/49)], with a statistically significant difference (P<0.05). Conclusion　Chinese medicine meridian theory can significantly improve the neurological deficits and the ability of daily life, reduce depression, anxiety, and other emotional disorders, and further improve patient satisfaction through various means such as acupuncture, tui-na massage, traditional Chinese medicine treatment, and functional exercises in patients with cerebral infarction during the rehabilitation period.

Key words:

Cerebral infarction, Rehabilitation period, Chinese medicine meridian theory, Neurological function recovery

摘要：

目的　探讨中医经络理论对脑梗死患者神经功能恢复的影响。方法　选取新乡市第一人民医院2022年10月至2023年10月98例脑梗死恢复期患者展开回顾性研究，按治疗时间分为对照组与研究组各49例。对照组男25例，女24例；年龄52～76（61.2±2.4）岁；研究组男23例，女26例，年龄54～75（60.5±2.2）岁。对照组采用常规护理，研究组联合基于中医经络理论的综合干预措施。两组患者均干预随访6个月。比较干预后两组患者的神经功能恢复情况、心理状态、生活质量及护理满意度。采用χ²检验、t检验进行统计学分析。结果　相较于干预前，干预后研究组和对照组患者的美国国立卫生研究院卒中量表（NIHSS）评分［（4.65±1.39）、（8.84±1.12）分］、Barthel指数［（74.63±3.36）、（58.86±1.08）分］、Fugl-Meyer运动功能评定量表（FMA）评分［（38.59±3.10）、（31.90±6.15）分］、乐观性评分［（27.06±9.54）、（23.55±7.15）分］、坚韧性评分［（24.84±8.46）、（21.39±6.74）分］、自强性评分［（25.69±8.29）、（21.73±7.00）分］、生理职能评分［（65.73±12.51）、（60.82±9.30）分］、活力评分［（58.84±9.44）、（53.20±7.37）分］、情感职能评分［（58.41±9.20）、（53.04±7.11）分］、总体健康评分［（64.71±11.59）、（58.33±9.14）分］、机体功能评分［（60.84±10.38）、（54.98±8.04）分］、躯体疼痛评分［（52.51±7.16）、（46.71±6.26）分］、社会功能评分［（62.45±8.76）、（56.71±8.87）分］、精神健康评分［（64.14±10.15）、（60.35±7.70）分］均有所改善，且研究组优于对照组，差异均有统计学意义（均P<0.05）。研究组满意度为87.76%（43/49），高于对照组的61.22%（30/49），差异有统计学意义（P<0.05）。结论　中医经络理论通过针灸、推拿按摩、中药治疗、功能锻炼等多种手段，改善脑梗死康复期患者神经功能缺损程度、提高日常生活能力、缓解抑郁焦虑等负面情绪，进一步提高患者的满意度。

关键词:

 , 脑梗死, 康复期, 中医经络理论, 神经功能恢复