基于Brunnstrom不同分期的循经推拿方法对脑卒中恢复期患者下肢功能的影响  

Effects of massage along meridians based on different stages of Brunnstrom on lower extremity function in patients with convalescent stroke

作　　者：许健[1] 黄秀清[1] 周纯[1] 张其乐[1] 杨杰 黄丽[1] XU Jian;HUANG Xiuqing;ZHOU Chun;ZHANG Qile;YANG Jie;HUANG Li(Department of Rehabilitation,the People's Hospital of Quzhou City in Zhejiang Province,Quzhou 324000,China)

机构地区：[1]浙江省衢州市人民医院康复医学科,浙江衢州324000

出　　处：《中国现代医生》2019年第10期34-37,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2019ZT003);浙江省衢州市市级科技计划指导性项目(20172003)

摘　　要：目的观察基于不同Brunnstrom分期的推拿方法对脑卒中恢复期患者下肢功能的影响。方法选取我院2016年9月～2018年8月在脑科中心住院治疗的脑卒中恢复期伴有下肢功能障碍患者90例,随机分为观察组45例与对照组45例,两组均给予基本康复治疗,对照组患者采用常规运动疗法,观察组患者在常规运动疗法基础上加用基于Brunnstrom不同分期的推拿方法。两组共治疗6周,评定两组治疗前后的FMA-L、MAS及BBS评分。结果两组患者治疗前FMA-L、MAS及BBS评分比较,差异无统计学意义(P>0.05)。经6周治疗后,两组患者FMAL及BBS评分均较治疗前明显升高,而MAS评分较前降低,差异具有统计学意义(P<0.05或P<0.01);相比对照组,观察组患者FMA-L及BBS评分升高更明显,MAS评分降低更明显,差异具有统计学意义(P<0.05或<0.01)。结论在常规治疗方法上加用基于Brunnstrom不同分期的推拿手法更有助于改善脑卒中恢复期患者的平衡功能,减轻下肢肌张力,提高下肢功能活动。Objective To observe the effects of massage along meridians based on different stages of Brunnstrom on lower extremity function in patients with convalescent stroke.Methods Ninety patients with convalescent stroke and lower limb dysfunction who were hospitalized in our hospital's brain center from September 2016 to August 2018 were selected.They were randomly assigned to an observation group of 45 patients and a control group of 45 patients.Both groups were given basic rehabilitation therapy.The control group was given conventional exercise therapy,and the observation group was given additional massage based on different stages of Brunnstrom.The two groups were treated for 6 weeks,and the FMA-L,MAS and BBS scores before and after treatment were evaluated.Results There were no significant differences in FMA-L,MAS and BBS scores between the two groups(P>0.05).After 6 weeks of treatment,the FMA-L and BBS scores of the two groups were significantly higher than the pre-treatment scores,while the MAS scores were lower than the pre-treatment scores(P<0.05 or P<0.01).Compared with the control group,the improvement of FMA-L and BBS scores and the reduction of MAS score in the observation group was more significant(P<0.05 or P<0.01).Conclusion On the basis of conventional treatment methods,the application of massage therapy based on different stages of Brunnstrom is more helpful to improve the balance function of patients during stroke recovery,reduce muscle tension of lower limbs and to improve functional activities of lower limbs.

关 键 词：Brunnstrom分期 循经推拿 脑卒中 下肢瘫 痉挛 康复 随机 

分 类 号：R743.3[医药卫生—神经病学与精神病学]