目的:探究杵针联合眩晕敷贴对缺血性脑卒中(CIS)病人眩晕的临床疗效.方法:选取医院收治的120例CIS后眩晕病人,采用随机数字表法分为对照组和观察组各60例,对照组进行常规护理,观察组在对照组基础上进行杵针联合眩晕敷贴干预,干预3周;比较两组干预效果,于干预前、干预后,比较两组眩晕症状程度[眩晕残障程度评定量表(DHI)]、平衡能力[Berg平衡量表(BBS)].结果:观察组总有效率高于对照组(P<0.05);干预后两组DHI评分明显下降,BBS评分明显升高,且观察组DHI评分低于对照组,BBS评分高于对照组(P<0.05).结论:杵针联合眩晕敷贴应用于CIS后眩晕病人中能够提高干预效果,减轻病人眩晕程度,提高其平衡能力.

Objective:To explore the application value of pestle needle combined with acupoint application in traditional Chinese medicine (TCM) nursing for patients with cervical vertigo.Methods:This study was a randomized controlled trial. A prospective study was conducted to select 82 patients with cervical vertigo admitted to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from July 2020 to July 2022. They were divided into a control group (41 cases) and an observation group (41 cases) according to the random number table method. In the control group, there were 23 males and 18 females, aged (42.59±4.61) years, with a course of disease of (36.91±8.24) months; in the observation group, there were 24 males and 17 females, aged (42.81±4.32) years, with a course of disease of (37.49±8.56) months. The control group received routine nursing care, while the observation group received TCM characteristic nursing techniques (pestle needle combined with acupoint application). Both groups received 21 days of nursing care. The symptoms and function of cervical vertigo, sleep quality, and quality of life were compared and analyzed in the two groups. t test and χ2 test were used. Results:After nursing, the scores of shoulder and neck pain [(2.98±0.35)], vertigo [(12.58±1.43)], psychological and social status [(3.01±0.45)], headache [(1.49±0.18)], and daily life and work [(3.08±0.39)] and the total score [(23.14±3.06)] of the Evaluating Score for the Symptoms and Function Rehabilitation of Cervical Vertigo in the observation group were higher than those in the control group [(2.34±0.31), (10.32±1.76), (2.38±0.30), (1.14±0.26), (2.43±0.34), and (18.61±2.97)], the score of quality of life questionnaire was higher than that in the control group [(105.34±9.02) vs. (90.13±8.17)], and the score of Pittsburgh Sleep Quality Index was lower than that in the control group [(7.21±1.23) vs. (9.61±1.83)], with statistically significant differences ( t=8.765, 6.381, 7.459, 7.087, 8.044, 6.802, 8.003, and 6.970, all P<0.001). Conclusion:TCM characteristic nursing technique of pestle acupuncture combined with acupoint application can alleviate the clinical symptoms in patients with cervical vertigo, improve their cervical function, reduce the impact on sleep, and improve their quality of life, with high clinical application value.

目的 探讨临床护理路径配合杵针治疗对颈性眩晕患者的影响.方法 选取2017年5月至2019年6月就诊于医院的78例颈性眩晕患者,按照随机数字表法分为对照组和观察组,各39例.对照组给予常规护理结合杵针治疗,观察组采用临床护理路径配合杵针治疗,比较两组治疗效果及症状改善情况.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);干预3个月后,两组症状评分均高于干预前,且观察组症状评分高于对照组,差异均有统计学意义(P<0.05).结论 临床护理路径配合杵针治疗颈性眩晕患者效果显著,可改善患者眩晕症状.

目的 探讨早期功能锻炼配合中医透药治疗仪对中风后肩手综合征患者康复效果的影响.方法 选择2017年9月至2019年9月医院收治的中风后肩手综合征患者82例,按照随机数字表法分为对照组和观察组,各41例.两组均采用中医透药治疗仪进行辅助治疗,对照组实施常规护理,观察组在对照组基础上实施早期功能锻炼,比较两组肢体肿胀、疼痛程度及上肢运动功能.结果 干预后,观察组肢体肿胀程度轻于对照组,视觉模拟评分法(VAS)评分低于对照组,差异均有统计学意义(P<0.05);观察组简化肢体功能评价量表(FMA)评分高于对照组,差异有统计学意义(P<0.05).结论 早期功能锻炼配合中医透药治疗仪能够减轻中风后肩手综合征患者的肿胀及疼痛程度,提高肢体运动功能.

目的:探讨腧穴热敏化艾灸干预糖尿病脑卒中患者压疮的效果.方法:选取2016年9月-2018年8月于本院住院的80例糖尿病伴脑卒中压疮患者,采用随机数字表法分为对照组与观察组,各40例.对照组给予常规护理,观察组在对照组的基础上实施腧穴热敏化艾灸,比较两组的干预效果、压疮愈合程度评分及血液流变学指标.结果:观察组总有效率高于对照组(P<0.05);干预1、2周后观察组压疮愈合程度评分均低于对照组(P<0.05);干预2周后观察组红细胞沉降率(ESR)和红细胞比容(HCT)均低于对照组(P<0.05).结论:腧穴热敏化艾灸干预糖尿病脑卒中患者压疮效果显著,可以显著改善血液流变学指标,促进压疮创面愈合,值得临床推广.