Abstract: Objective To explore the effect of TCM management program based on CFIR on early muscle strength rehabilitation in stroke patients. Methods A total of 72 patients with ischemic stroke admitted to the Shanghai 10th People's Hospital from August 2020 to May 2021 were selected as the research objects. According to the random number table method, they were divided into the control group and the intervention group, 42 patients were included before the evidence-based practice as the control group, and 30 patients were included after the practice as the intervention group. Patients in the control group were given routine management plan, while patients in the intervention group were given evidence-based practice intervention management plan. The National Institute of Health Stroke Scale (NIHSS) and activities of daily living were compared between the two groups living, ADL) score, muscle strength grading, and the implementation of evidence by medical staff. Results After evidence-based practice, the NIHSS score of intervention group was lower than that of control group, and the difference was statistically significant (P<0.05). The ADL score of the intervention group was higher than that of the control group, and the difference was statistically significant (P<0.05). The proportion of patients with muscle strength grade≥4 in intervention group was higher than that in control group, and the difference was statistically significant (P<0.05). After evidence-based practice, the implementation rate of medical staff to evidence was improved, and the differences were statistically significant (P<0.05). Conclusion The TCM and Western medicine management scheme based on CFIR evidence-based practice model can effectively improve the activities of daily living of patients and promote the early recovery of muscle strength and neurological function of stroke patients, which is worthy of clinical application.

Key words: stroke, muscle rehabilitation, integrated traditional Chinese and western medicine, evidence-based