Applying tuina to exterior-interiorly connected meridians for post-stroke upper limb spasticity  

表里两经推拿治疗脑卒中后上肢偏瘫痉挛状态（英文）

作　　者：Di Hong-yan Han Shu-kai Du Xiao-lin Li Wen-wen Jia Jing 邸鸿雁;韩淑凯;杜孝林;李雯雯;贾静;韩丑萍(译)(The First Central Hospital of Baoding City;Wangdu County Hospital of Chinese Medicine;The Fifth Hospital of Baoding City;The First Hospital of Chinese Medicine of Baoding City)

机构地区：[1]The First Central Hospital of Baoding City, Hebei Province, Baoding 074000, China [2]Wangdu County Hospital of Chinese Medicine, Hebei Province, Wangdu 072450, China [3]The Fifth Hospital of Baoding City, Hebei Province, Baoding 071000, China [4]The First Hospital of Chinese Medicine of Baoding City, Hebei Province, Baoding 071000, China

出　　处：《Journal of Acupuncture and Tuina Science》2017年第1期27-30,共4页针灸推拿医学（英文版）

基　　金：supported by Science-technology Support Plan Project of Hebei Province,No.11276168~~

摘　　要：Objective： To observe the effect of applying tuina to exterior-interiorly connected meridians for post-stroke upper limb spasticity. Methods： A total of 150 patients with post-stroke upper limb spasticity were randomly allocated into a treatment group （n=75） and a control group （n=75） by the random number table. Patients in the treatment group received tuina on exterior-interiorly connected meridians, whereas patients in the control group received standard rehabilitation therapy. The therapeutic efficacies in both groups were observed after 3 weeks of treatment. Results： The total effective rate in the treatment group was 89.3%, versus 61.3% in the control group, showing a statistically significant difference （P〈0.05）. After the treatment, the muscle tones by the modified Ashworth scale （MAS） were significantly improved in both groups （both P〈0.05）; and the improvement of muscle tone was more significant in the treatment group than that in the control group （P〈0.05）. Conclusion： Applying tuina to exterior-interiorly connected meridians can obtain an exact efficacy for post-stroke upper limb spasticity.目的:观察表里两经推拿治疗脑卒中后上肢偏瘫患者痉挛状态的临床疗效。方法:符合诊断标准的脑卒中后上肢痉挛性偏瘫患者150例,采用随机数字表法随机分为治疗组和对照组,每组75例。治疗组给予表里两经推拿治疗,对照组给予常规康复治疗,治疗3星期后观察疗效。结果:治疗组和对照组的总有效率分别为89.3%和61.3%,两组比较,差异有统计学意义(P<0.05)。两组患者治疗后,肌张力Ashworth分级较治疗前均有明显改善(均P<0.05),治疗组在肌张力Ashworth分级方面显著优于对照组(P<0.05)。结论:表里两经推拿法治疗脑卒中后上肢偏瘫患者痉挛状态疗效确切。

关 键 词：TUINA MASSAGE Poststroke Syndrome HEMIPLEGIA Myospasm Activities of Daily Living Rehabilitation 

分 类 号：R246.6[医药卫生—针灸推拿学]