早期康复护理联合艾灸对脑卒中偏瘫患者的肌力恢复及运动功能影响研究

Effects of Early Rehabilitation Nursing Combined with Moxibustion on Muscle Strength Recovery and Motor Function in Patients with Post-Stroke Hemiplegia

摘要: 目的：探讨在早期康复护理的基础上联合艾灸干预，对卒中偏瘫患者的肌力水平、肢体运动功能、神经功能缺损恢复水平以及日常生活活动能力的变化特征，为优化中西医结合康复护理方案提供参考。方法：采用随机数字表法将84例卒中偏瘫患者随机分为观察组与对照组，每组42例。对照组接受常规早期康复护理，观察组在此基础上叠加艾灸干预，疗程均为20 d。分别于干预前后评估两组肌力分级、Fugl-Meyer运动功能评分、美国国立卫生研究院卒中量表(NIHSS)评分及Barthel指数，以比较运动功能与日常生活活动能力的改善情况。结果显示，干预后观察组肌力改善总有效率为92.86%，高于对照组的73.81%，差异有统计学意义(P < 0.05)；观察组干预后Fugl-Meyer评分及Barthel指数较对照组升高更为明显，NIHSS评分较对照组降低更显著，差异均有统计学意义(P < 0.05)。提示在早期康复护理基础上叠加艾灸干预，有助于卒中偏瘫患者肌力恢复与运动功能改善，减轻神经功能缺损，并提高日常生活活动能力。

Abstract: Objective: To analyze the alterations in muscle strength, limb motor function, neurological deficit recovery and activities of daily living among patients with post-stroke hemiplegia receiving moxibustion intervention combined with early rehabilitation nursing to provide a reference for optimizing the integrated traditional Chinese and western medicine rehabilitation nursing program. Methods: A total of 84 patients diagnosed with post-stroke hemiplegia were assigned to the observation group and control group via the random number table method, with 42 participants in each group. The control group was provided with standard early rehabilitation nursing care, while the observation group received supplementary moxibustion intervention for a 20-day treatment course. Muscle strength grading, Fugl-Meyer motor function score, National Institutes of Health Stroke Scale (NIHSS) score and Barthel index of both cohorts were assessed before and after intervention for comparing the amelioration of motor function and daily living capacity. Results: Following intervention, the overall effective rate of muscle strength improvement reached 92.86% in the observation group versus 73.81% in the control group, and the intergroup difference was statistically significant (P < 0.05). Compared with the control cohort, the observation group achieved greater elevations in Fugl-Meyer score and Barthel index as well as a more remarkable reduction in NIHSS score, with statistically significant differences (P < 0.05). Conclusion: Supplementary moxibustion based on standard early rehabilitation nursing facilitates the restoration of muscle strength and motor function, mitigates neurological deficits, and elevates activities of daily living for patients living with post-stroke hemiplegia.