温阳灸联合活血消肿散改善中风后偏瘫肢体肿胀的效果观察

[摘要] Abstract：Objective To investigate the effect of warming-yang moxibustion combined with pulvis of activating-blood and detumescence in relieving limb swelling of patients with hemiplegia after stroke. Methods 〓Totally 120 patients with hemiplegia in convalescence after stroke were assigned to the control group(n=40), intervention group 1(n=40)and intervention group 2(n=40). All patients received comprehensive treatment and their affected limb in the functional position. Patients in the intervention group 1 received pulvis of activating-blood and detumescence, and those in the intervention group 2 received warming-yang moxibustion combined with pulvis of activating-blood and detumescence. The upper limb circumference, lower limb circumference, Fugl-Meyer scale, Barthelindex(BI)were evaluated before intervention and 14 days after intervention. Results 〓The upper and lower affected limb circumference were smaller in the intervention group 1 than those in the control group(P<0.05), and the upper and lower affected limb circumference were smaller in the intervention group 2 than those in the control group(P<0.01)and those in the intervention group 1(P<0.05). The Fugl-Meyer scale and BI were higher in the intervention group 1 than those in the control group(P<0.05), and Fugl-Meyer scale and BI were higher were smaller in the intervention group 2 than those in the control group(P<0.01)and those in the intervention group 1(P<0.05). Conclusion 〓Warming-yang moxibustion combined with pulvis of activating-blood and detumescence can effectively relieve the symptoms of affected limb swelling, promote the recovery of limb function and improve the self-management ability of patients.

[学科分类] 护理学

[关键词] 肢体肿胀;温阳灸;活血消肿散;中风;中医护理;运动功能