甘秀军

[摘要] 目的 探讨耳穴压豆联合按摩护理对气虚血瘀型中风患者临床效果的影响。 方法 选取2017年4月～2018年4月于我院治疗的气虚血瘀型中风患者106例，随机分为两组，对照组采用常规护理方式，研究组采用耳穴压豆联合按摩的护理方式。比较两组患者治疗前后的临床干预效果、患者的护理满意度、不良反应的发生情况。 结果 研究组临床干预效果优于对照组（P<0.05）;研究组护理满意度高于对照组（P<0.05）;研究组的恶心呕吐、癫痫、颅内压升高等不良反应发生率低于对照组（P<0.05）。 结论 在气虚血瘀型中风的治疗过程中，给予患者使用耳穴压豆联合按摩护理，有助于提高护理质量，增强治疗效果，临床上应进一步推广应用。

[关键词] 耳穴压豆;穴位按摩;气虚血瘀型中风;护理效果;不良反应

[中图分类号] R473.74          [文献标识码] B          [文章编号] 1673-9701（2019）19-0147-03

[Abstract] Objective To investigate the effect of auricular acupoint pressing bean combined with massage therapy on the clinical effects of the patients with stroke of the type of Qi deficiency and blood stasis. Methods A total of 106 patients with stroke of the type of Qi deficiency and blood stasis who were treated in our hospital from April 2017 to April 2018 were selected and randomly divided into two groups. The control group was given routine nursing care， and the study group was given the nursing care of auricular acupoint pressing bean combined with massage. The clinical intervention effects， patients' satisfaction and adverse reactions were compared before and after treatment in both groups. Results The clinical intervention effect in the study group was better than that in the control group（P<0.05）; the nursing satisfaction in the study group was higher than that in the control group（P<0.05）; the incidence rate of adverse reactions such as nausea and vomiting， epilepsy and elevated intracranial pressure in the study group was lower than that in the control group（P<0.05）. Conclusion During the treatment of stroke with the type of Qi deficiency and blood stasis， auricular acupoint pressing bean combined with massage therapy for the patients can improve the quality of nursing care and enhance the therapeutic effect， which should be further promoted and applied clinically.

[Key words] Auricular acupoint pressing bean; Acupoint massage; Stroke with the type of Qi deficiency and blood stasis; Nursing effect; Adverse reactions

中醫的中风，又称缺血性卒中，是我国目前最主要的脑血管疾病[1]。中风的病因是脑部供血的主动脉出现供血异常，致使大脑局部供血不足，脑部神经因缺血、缺氧性而坏死，其具有高致死率、致残率，是临床上一种常见病症。中医普遍认为，气虚血瘀型中风是气虚血瘀症中的常见类型，是一种以气虚为主、血瘀为标的病症，能够影响心脏、大脑、肾脏等其他器官正常的工作运行[2]。该病一般均会使患者出现躯体麻木、僵硬与行动不便等后遗症。本院采用耳穴压豆联合按摩护理，可有效降低耳穴压豆及按摩引发的不良反应的发生率。耳穴压豆是指使用胶布将药豆粘贴在对应的耳穴处来实现治疗目的的一种外治疗法。按摩护理是为使患者的经络之气顺畅而刺激人体特定的穴位，实现通经活络的目的。我院在气虚血瘀型中风治疗过程中，使用耳穴压豆联合按摩护理的临床干预效果良好，现报道如下。……