目的: 探究中药热奄包联合问题解决干预模式用于脑卒中偏瘫患者恢复期对康复效果的影响。方法: 选取我院2020年1月—2023年10月住院收治的脑卒中偏瘫患者124例为研究对象,采用随机摸红黄球的方法,分为观察组（红球,62例）和对照组（黄球,62例）。两组均接受常规康复干预,对照组在常规康复干预的基础上接受问题解决模式干预,观察组在对照组基础上加用中药热奄包干预,并与对照组比较干预前后中医证候积分的差异;采用美国国立卫生院脑卒中量表（NIHSS）比较两组患者神经功能缺损程度;应用脑卒中特需生活质量量表（SS-QOL）对脑卒中患者的生活质量情况进行评价;比较两组并发症发生情况。结果: 干预后,两组中医证候积分和神经功能各维度评分均较干预前显著降低,且观察组显著低于对照组;与干预前相比,两组患者生活质量的各项指标均有明显提高,且观察组显著高于对照组;干预期间,两组并发症发生情况差异不显著。结论: 脑卒中偏瘫患者恢复期应用中药热奄包配合问题解决干预模式,有助于加快临床症状缓解,减轻神经功能缺损程度,进而优化康复成效,助益于患者生活质量的提高。

Objective To investigate the efficacy of combining traditional Chinese medicine Reyanbao therapy with a problem-solving intervention model on the rehabilitation outcomes of stroke patients with hemiplegia during the recovery period. Methods From January 2020 to October 2023, 124 stroke patients with hemiplegia admitted to our hospital were enrolled in this study. Participants were randomly allocated into two groups using a red and yellow ball selection method: an experimental group (red balls, n=62) and a control group (yellow balls, n=62). Both groups received standard rehabilitation measures. The control group additionally underwent problem-solving model intervention, while the experimental group received both problem-solving intervention and traditional Chinese medicine Reyanbao therapy. Traditional Chinese Medicine (TCM) syndrome scores were compared pre- and post-intervention. The National Institutes of Health Stroke Scale (NIHSS) was used to assess neurological deficits, and the Stroke-Specific Quality of Life Scale (SS-QOL) evaluated patients’ quality of life. Adverse events were also documented. Results Post-intervention, both groups showed significant improvements in TCM syndrome scores and neurological function compared to baseline, with the experimental group demonstrating more substantial reductions. Quality of life measurements across various dimensions improved markedly in both groups following the intervention, with the experimental group exhibiting significantly greater enhancements. No significant differences in complications were observed between the groups during the intervention period. Conclusion The combination of traditional Chinese medicine Reyanbao therapy and problem-solving intervention model during the recovery period of stroke patients with hemiplegia effectively accelerates clinical symptom relief, reduces the severity of neurological deficits, and significantly improves therapeutic outcomes and overall quality of life for patients.