推拿辅助针刺治疗中风后痉挛性瘫痪的可行性  

Feasibility of massage assisted acupuncture in the treatment of spastic paralysis after stroke

作　　者：罗海强 Luo Haiqiang

机构地区：[1]广宁县人民医院

出　　处：《中医临床研究》2019年第18期101-102,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:对中风后痉挛性瘫痪实施推拿辅助针刺治疗的可行性进行分析。方法:选择本院2017年5月-2018年6月收治的50例中风后痉挛性瘫痪患者作为本次研究的观察对象,通过硬币法进行分组,对照组25例单纯给予针灸治疗,治疗组25例给予针灸联合推拿治疗,比较两组治疗前后痉挛程度、运动功能、日常生活活动能力变化情况以及整体临床疗效。结果:治疗组的治疗总有效率与对照组相比,对照组明显低于治疗组,组间差异有统计学意义(P<0.05);治疗1个月后,两组患者的MAS评分低于治疗前,ADL评分、FMA评分高于治疗前,在组间对比上,治疗组改善程度与对照组差异有统计学意义(P<0.05)。结论:推拿辅助针刺对中风后痉挛性瘫痪患者的痉挛状态、生活、运动功能具有重要的改善作用。Objective:To analyze the feasibility of massage assisted acupuncture for spastic paralysis after stroke.Methods:50 patients with spastic paralysis after stroke admitted and treated in our hospital from May 2017 to June 2018 were selected as the subjects of observation in this study,and grouped by coin method.In the control group,25 cases were treated with acupuncture and moxibustion alone,and in the treatment group,25 cases were treated with acupuncture and moxibustion combined with massage.The degree of spasm,motor function,daily living ability and overall clinical efficacy of the two groups before and after treatment were compared.Results:The total effective rate of treatment in the control group was significantly lower than that in the treatment group,and the difference between the two groups was statistically significant(P<0.05).After 1 month of treatment,MAS score of the two groups was lower than that before treatment,ADL score and FMA score of the two groups were higher than that before treatment.In terms of inter-group comparison,the improvement degree of the treatment group was statistically different from that of the control group(P<0.05).Conclusion:Massage assisted acupuncture could improve spasmodic state,life and motor function of patients with spasmodic paralysis after stroke.

关 键 词：痉挛性瘫痪 中风 针刺 推拿 

分 类 号：R255.2[医药卫生—中医内科学]