石蜡疗法联合康复训练对脑卒中后本体感觉障碍患者的疗效观察  

Effect observation of paraffin therapy combined with rehabilitation training on patients with proprioceptive dysfunction after stroke

作　　者：韩茜茜 徐宁[1] 郭金龙 吴伟[3] 杨英兰 鹿钦雪 韩晴 Qian-qian Han;Ning Xu;Jin-long Guo;WeiWu;Ying-lan Yang;Qin-xue Lu;Qing Han(Rehabilitation Medical College,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;Department of Traditional Chinese Medicine,Qianfoshan Hospital,Jinan,Shandong 250014,China;Department of Neurology,Qilu Hospital of Shandong University,Jinan,Shandong 250012,China)

机构地区：[1]山东中医药大学康复医学院,山东济南250355 [2]山东省千佛山医院中医科,山东济南250014 [3]山东大学齐鲁医院神经内科,山东济南250012

出　　处：《中国现代医学杂志》2021年第9期36-40,共5页China Journal of Modern Medicine

基　　金：山东省教育科学规划课题(No:2013GG167)。

摘　　要：目的观察蜡疗联合康复训练对脑卒中后本体感觉障碍患者的影响。方法选取2018年6月—2019年6月于山东省千佛山医院住院治疗的60例脑卒中后本体感觉障碍患者,随机分为治疗组和对照组,每组30例。对照组患者接受常规药物治疗和康复训练,治疗组在此基础上接受蜡疗,2次/d,5 d/周,持续8周。治疗前后分别采用四肢本体感觉功能评分法、Fugl-Meyer运动评定量表(FMA-M)、Berg平衡量表(BBS)及改良Barthel指数(MBI)对患者进行康复评定。结果两组治疗后四肢本体感觉功能评分、FMA-M评分、BBS评分及MBI评分均较治疗前高(P<0.05),治疗组治疗后均较对照组高(P<0.05)。结论蜡疗联合康复训练可有效改善脑卒中患者本体感觉功能,提高运动、平衡功能及日常生活活动能力。Objective To observe the effect of paraffin therapy combined with rehabilitation training on patients with stroke proprioception dysfunction.Methods From June 2018 to June 2019,60 patients with proprioceptive disorders after stroke who were hospitalized in our hospital were randomly divided into treatment group and control group,with 30 cases in each group.Patients in both groups received conventional drug therapy and rehabilitation training.On this basis,the treatment group received paraffin therapy twice a day for 5 d per week for 8 weeks.Before and after treatment,patients were assessed with proprioceptive function assessment of limbs,Fugl-Meyer assessment for motor(FMA-M),Berg balance scale(BBS),and modified Barthel index(MBI).Results After treatment,the proprioceptive function scores of limbs,FMA-M scores,BBS scores,and MBI scores in the two groups were higher than those before treatment(P<0.05);the scores in the treatment group were higher than that in the control group after treatment(P<0.05).Conclusions Paraffin therapy combined with rehabilitation training can effectively improve proprioceptive function,motor function,balance function,and activity of daily living of stroke patients.

关 键 词：卒中 康复 本体感觉 日常生活活动 石蜡疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]