拮抗肌推拿结合Bobath疗法治疗中风痉挛性偏瘫的临床观察  

Clinical Observation on Antagonistic Muscle Massage Combined with Bobath in Treating Spastic Hemiplegia of Stroke

作　　者：郝建波[1] 王云翠[2] 

机构地区：[1]湖北省中医院推拿康复科,湖北武汉430061 [2]湖北中医药大学,湖北武汉430061

出　　处：《湖北中医药大学学报》2016年第3期98-100,共3页Journal of Hubei University of Chinese Medicine

基　　金：湖北省教育厅科学研究中青年人才项目(项目编号:Q20152001);湖北省中医院院级课题(项目编号:JDZX2014Y07)

摘　　要：目的观察推拿结合康复训练治疗中风痉挛性偏瘫的临床疗效。方法将中风偏瘫患者随机分为治疗组和对照组各40例,对照组进行Bobath疗法康复训练,治疗组在对照组基础上进行推拿治疗,双侧上肢都以阳明经穴为主,健侧下肢取穴仍以阳明经穴为主,患侧下肢则通过刺激拮抗肌上的穴位,治疗前后对患者偏瘫肢体的运动功能和日常生活能力、肌张力情况进行评定。结果两组治疗前后运动功能和日常生活能力、肌张力情况比较差异有统计学意义(P<0.05);治疗组疗效优于对照组(P<0.05)。结论推拿和康复训练治疗中风偏瘫均有较好疗效,但推拿结合康复训练比单纯康复训练有优势。Objective To investigate the clinical effect of massage plus rehabilitation training in treatment of spasticity hemiplegia of strobe. Method Patients with apoplectic hemiplegia were randomly divided into treatment group and control group,40 cases in each group.Bobath rehabilitation training was carried out in control group,treatment group were treated by massage plus rehabilitation training. Healthy sides and affected upper extremity in Yangming channels,affected lower extremity in antagonists,the patients＇,daily life ability and muscular tension situation were evaluated before and after treatment. Results There were significant differences in limb mouement function,daily life ability and muscular tension between pretreatment and post- treatment in both groups（ P〈0. 05）,there were also significant differences between control group and treatment group（ P〈0. 05）. Conclusion Massage plus rehabilitation training has a better effect than simple rehabilitation training on apoplectic hemiplegia.

关 键 词：中风 痉挛性偏瘫 推拿疗法 康复训练 

分 类 号：R246[医药卫生—针灸推拿学]