推拿对全臂丛损伤术后患者的康复疗效观察  

The Efficacy of Tuina Therapy in Treating Patients with Total Brachial Plexus Injury

作　　者：岳旭迎 李征宇[2] 肖彬[2] 周俊明[3] 王文璐[2] 

机构地区：[1]上海市闵行区中医医院,上海201100 [2]上海中医药大学针灸推拿学院,上海201203 [3]复旦大学附属华山医院,上海200040

出　　处：《贵阳中医学院学报》2016年第2期63-66,共4页Journal of Guiyang University of Chinese Medicine

摘　　要：目的:观察推拿对全臂丛术后患者的康复治疗效果。方法:全臂丛损伤术后患者95名分为三组,推拿理疗组33名给予推拿和理疗方法(低频脉冲电疗、中频电疗)治疗,脱落2名;理疗组33名仅给予理疗方法治疗,脱落3名;对照组29名手术后回家自行康复,脱落8名。比较三组视觉模拟评分(VAS)、上肢功能评分、肌力评价、神经-肌电检测。结果:推拿理疗组和理疗组对全臂丛损伤术后患者均有良好的康复效果,推拿理疗组患者疼痛明显缓解。在上肢功能和肌力方面,自第一疗程起,理疗组恢复效果显著优于对照组,推拿理疗组效果优于理疗组,比较有统计学差异(P<0.05);肌电图反映三组患者均有出现新生电位,推拿理疗组效果优于理疗组,两组治疗效果均优于对照组。结论:臂丛神经术后的康复是临床恢复的重要内容,推拿能活血化瘀,促进神经再生,值得临床推广应用。Objective： To observe the rehabilitation efficacy of Tuina Therapy in treating patients with the operation of brachial plexus. Methods： Nighty-five cases of patients with operation of brachial plexus were di- vided into three groups： the Tuina therapy group with 33 patients having Tuina and physical therapy （treated with low frequency pulsed electric stimulation and medium frequency electric stimulation） ; the physiotherapy group with 33 patients treated with physical therapy only; and the control group with 29 patients recovered by themselves after surgery. The effect was evaluated according the brachial plexus function evaluation standard, the muscle strength evaluation, and EMG of musculocutaneous and suprascapular nerve was performed to see whether the nascent potential appeared. Results： The Tuina therapy group and physiotherapy group were effective in treating dysfunction after the operation of brachial plexus. On the aspect of upper limb function and muscle force, from the first course, the restoration of physiotherapy group was better than that of the control group, and the Tuina therapy group was better than physical therapy group, with statistically significant differences （P 〈0. 05）. The nascent potentials appeared in the dominant muscles of the recipient nerve in all groups, and there were significant differences between the physiotherapy group and control group （ P 〈 0. 05 ）, without sig- nificant difference between the Tuina therapy group and physiotherapy group. However, by observing the recov- ery rate, Tuina therapy group was better than the physiotherapy group. Conclusion： The rehabilitation of Bra- chial plexus after surgery is an important part of clinical recovery. Tuina Therapy can activate blood and resolve stasis, and it is effective in the regeneration of the nerve. It is worth popularizing in clinical application.

关 键 词：全臂丛损伤术后 推拿 低频脉冲电疗 中频电疗 

分 类 号：R244.1[医药卫生—针灸推拿学] R741[医药卫生—中医临床基础]