艾灸曲池、合谷、百会联合分级心理指导干预脑梗死恢复期临床研究
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R743.9;R248.1

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Clinical Study on Moxibustion at Quchi, Hegu and Baihui Points Combined with Graded Psychological Guidance for Convalescence of Cerebral Infarction
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    摘要:

    目的:观察艾灸曲池、合谷、百会联合分级心理指导对脑梗死恢复期患者神经功能、运动功能、生活能力及负性情绪的影响。方法:将82 例脑梗死恢复期患者按随机数字表法分为对照组和观察组,每组41 例。对照组给予常规护理及一般康复训练干预,观察组在对照组基础上给予艾灸曲池、合谷、百会联合分级心理指导,2 组均干预4 周。观察2 组神经功能、运动功能、生活能力及负性情绪的改善情况。结果:观察组神经功能改善总有效率为95.12%,高于对照组的80.49%(P<0.05)。干预后,观察组简化Fugl-Meyer 运动功能评定量表(FMA)、Berg 平衡量表(BBS)、功能独立性评定量表(FIM) 及改良Barthel 指数(MBI) 评分均高于对照组(P<0.05);汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD) 评分均低于对照组(P<0.05)。结论:对脑梗死恢复期患者给予艾灸曲池、合谷、百会联合分级心理指导干预,能促进其神经功能恢复,提高运动功能及生活能力,改善负性情绪。

    Abstract:

    Abstract:Objective:To observe the effect of moxibustion at Quchi point(SI 7),Hegu point(PC 9) and Baihui point(LI 6) combined with graded psychological guidance on neurological function,motor function,living ability and negative emotions in patients in convalescence of cerebral infarction. Methods: A total of 82 cases of patients in convalescence of cerebral infarction were divided into the control group and the observation group according to the random number table method , 41 cases in each group. The control group was intervened with routine nursing and general rehabilitation training, and the observation group was additionally given moxibustion at Quchi,Hegu and Baihui points combined with graded psychological guidance. Both groups were intervened for four weeks. The improvement of neurological function, motor function, living ability and negative emotions in the two groups was observed. Results: The total effective rate of improvement of neurological function was 95.12% in the observation group,higher than that of 80.49% in the control group(P<0.05). After intervention,the scores of short-form Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS),Functional Independence Measure(FIM) and Modified Barthel Index(MBI) in the observation group were higher than those in the control group(P< 0.05); the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) were lower(P<0.05). Conclusion:The application of moxibustion at Quchi,Hegu and Baihui points combined with graded psychological guidance for patients in convalescence of cerebral infarction can promote the recovery of neurological function, and improve motor function,living ability and negative emotions.

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程勇,翁海瑛,钟惠惠.艾灸曲池、合谷、百会联合分级心理指导干预脑梗死恢复期临床研究[J].新中医,2020,52(20):138-141

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  • 在线发布日期: 2020-10-19
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