热敏灸辅助配合渐进式康复训练在卒中后上肢痉挛中的应用效果  

Application effect of heat-sensitive moxibustion assisted with progressive rehabilitation training in upper limb paralysis after stroke

作　　者：刘春花 楼喜强[1] LIU Chunhua;LOU Xiqiang(Department of Rehabilitation,Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市中医院康复科,浙江丽水323000

出　　处：《中国现代医生》2020年第20期135-139,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2015ZT028)。

摘　　要：目的评价热敏灸辅助配合渐进式康复训练在卒中后上肢痉挛中的应用效果。方法选择2017年2月~2019年5月我院康复科收治的80例卒中后上肢痉挛患者为研究对象,根据患者在院病床尾号单双号不同原则将其分为对照组与观察组两组,每组40例。对照组(单号)开展渐进式康复训练,观察组(双号)在对照组基础上辅助热敏灸治疗,比较两组患者改良Ashworth评分(MAS)、简化Fugl-Meyer运动功能(FMA)评分、改良Barthel指数(MBI)及临床治疗效果。结果治疗前两组患者MAS评级情况差异无统计学意义(P>0.05),治疗后两组患者评级比较差异有统计学意义(P<0.05),观察组优于对照组;治疗前两组患者FMA、MBI评分比较,差异无统计学意义(P>0.05),治疗后两组患者评分与治疗前比较,差异有统计学意义(P<0.05);治疗后观察组评分明显高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率92.50%,明显高于对照组的75.00%,差异有统计学意义(P<0.05)。结论热敏灸配合渐进式康复训练在卒中后上肢痉挛患者中应用,可有效改善患者上肢痉挛程度,提升上肢运动功能与日常生活能力,值得应用与推广。Objective To evaluate the application effect of heat-sensitive moxibustion combined with progressive rehabilitation training on upper limb paralysis after stroke.Methods 80 patients with upper extremity paralysis after stroke from February 2017 to May 2019 in Lishui Hospital of Traditional Chinese Medicine were selected as the study subjects.According to the principle of single and double numbers in the hospital bed,they were divided into 40 cases in the control group and 40 cases with the observation group.The control group(single number)carried out progressive rehabilitation training,and the observation group(double number)was assisted with thermal moxibustion treatment on the basis of treatment in the control group.The improved Ashworth score(MAS)and simplified Fugl-Meyer motor function(FMA)score,the modified Barthel Index(MBI)and clinical treatment effects between two groups were compared.Results There was no significant difference in MAS rating between the two groups before treatment(P>0.05).The difference in MAS rating between the two groups was statistically significant(P<0.05).The MAS rating of the observation group was superior to that of the control group.There was no significant difference in FMA and MBI scores before treatment(P>0.05).After treatment,the scores of the two groups were significantly different from those before treatment(P<0.05).After treatment,the scores of the observation group were significantly higher than those of the control group,with statistically significant difference(P<0.05).The total effective rate of the observation group was 92.50%,and that of the control group was 75.00%.The difference was statistically significant(P<0.05).Conclusion The application of heat-sensitive moxibustion combined with progressive rehabilitation training in patients with upper extremity paralysis after stroke can effectively improve the degree of upper limb paralysis and improve the upper limb motor function and daily living ability.It is worthy of application and promotion.

关 键 词：热敏灸 渐进式 康复训练 卒中 上肢痉挛 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]