中医推拿在“医养结合”模式下脑卒中康复方案中的可行性分析

摘要

目的 分析中医推拿在“医养结合”模式下脑卒中康复方案中的可行性.方法 计算机检索中国知网(CNKI)关于中医推拿治疗脑卒中的国内文献,检索时间为2015年9月-2016年9月,提取相关数据并建立数据库,分析“医养结合”模式下中医推拿在脑卒中康复治疗中的时机和适应证.结果 最终纳入29篇文献,包括2 701例患者.29篇文献中28篇提及脑卒中患者的年龄,其中3篇报道患者年龄为18 ～80岁,2篇报道患者年龄为35 ～ 80岁,22篇报道患者年龄为40 ～80岁,1篇报道患者年龄为50 ～ 80岁.29篇文献中21篇提及中医推拿治疗时机,包括1951例患者,其中卒中后3个月内患者所占比例最高,为50.85％;适应证:脑卒中后运动功能障碍占39.24％、脑卒中后痉挛性瘫痪占25.33％、脑卒中后肩手综合征占15.07％.结论 中医推拿用于“医养结合”模式下脑卒中康复方案的时机多为脑卒中后3个月内,主要适应证包括脑卒中后运动功能障碍、痉挛性瘫痪及肩手综合征.%Objective This analyze the feasibility of TCM TUINA in rehabilitation scheme for stroke under " Combination of Medical Treatment and Care" mode.Methods Domestic literatures about TCM TUINA in treating stoke were searched by computer from September 2015 to September 2016,related data was extracted and relevant database was built to analyze the occasion and indications of TCM TUINA in rehabilitation scheme for stroke under " Combination of Medical Treatment and Care" mode.Results A total of 29 literatures were involved (including 2,701 patients),thereinto 28 literatures reported patients'age:18 to 80 years old in 3 literatures,35 to 80 years old in 2 literatures,40 to 80 years old in 22 literatures,50 to 80 years old in 1 literature only.All of the 29 literatures reported the occasion of TCM TUINA (including 1,951 patients),thereinto patients received TCM TUINA within 3 months after stroke accounting for 50.85％;indications of TCM TUINA:patients with stoke-induced limb dyskinesia accounting for 39.24％,patients with stroke-induced spastic paralysis accounting for 25.33％,stroke-induced shoulder-hand syndrome accounting for 15.07％.Conclusion Under " Combination of Medical Treatment and Care" mode,most stroke patients received TCM TUINA within 3 months after attack,the indications includes stoke-induced limb dyskinesia,stroke-induced spastic paralysis and stroke-induced shoulder-hand syndrome.