温通刮痧疗法联合康复训练治疗脑梗死恢复期上肢痉挛临床研究  

Clinical Study on Wentong Scraping Therapy Combined with Rehabilitation Training on Upper Limb Spasticity in Patients with Cerebral Infarction in Convalescence

作　　者：朱小燕 朱小丹 傅娟 范旭莉 ZHU Xiaoyan;ZHU Xiaodan;FU Juan;FAN Xuli

机构地区：[1]金华市中医医院康复医学科,浙江金华321000

出　　处：《新中医》2023年第6期37-41,共5页New Chinese Medicine

摘　　要：目的:观察温通刮痧疗法联合康复训练治疗脑梗死恢复期上肢痉挛的疗效。方法:选取56例脑梗死恢复期上肢痉挛患者,按随机数字表法分为对照组及观察组各28例。对照组予以常规干预加康复训练,观察组在对照组基础上联合温通刮痧疗法治疗。2组均连续治疗4周。比较2组治疗前后的上肢肌痉挛程度[改良Ashworth痉挛量表(MAS)评分、肌电图均方根值(RMS)]、上肢运动功能[Fugl-Meyer运动功能评定量表(FMA)评分]、Barthel指数(BI)评分、疼痛视觉模拟评分法(VAS)评分。比较2组的临床疗效。结果:治疗结束后3个月,临床疗效总有效率观察组92.86%,对照组71.43%,2组比较,差异有统计学意义(P<0.05)。治疗结束时(4周)及治疗结束后1个月、3个月,2组MAS评分、RMS及VAS评分均较治疗前下降(P<0.05),观察组3项指标值均低于同一时间段对照组(P<0.05)。2组FMA评分、BI评分均较治疗前上升(P<0.05),观察组2项指标值高于同一时间段对照组(P<0.05)。结论:温通刮痧疗法联合康复训练可有效提高脑梗死恢复期上肢痉挛患者的临床疗效,降低患肢肌张力,缓解肢体痉挛,提高上肢运动能力及生活自理能力,减轻疼痛感,从而促进康复。Objective: To observe the curative effect of Wentong scraping therapy combined with rehabilitation training on upper limb spasticity in patients with cerebral infarction in convalescence.Methods:A total of 56 cases of patients with upper limb spasticity with cerebral infarction in convalescence were selected and divided into the control group and the observation group according to the random number table method, with 28 cases in each group. The control group was given routine intervention and rehabilitation training,and the observation group was additionally treated with Wentong scraping therapy based on the treatment of the control group. Both groups were treated for 4 weeks. Before and after treatment, the degree of upper limb muscle spasticity [Modified Ashworth Scale(MAS) scores and root mean square(RMS)], upper extremity motor function [The Fugl-Meyer Assessment(FMA) scores],Barthel Index(BI) scores,and pain in Visual Analogue Scale(VAS) scores were compared between the two groups. The clinical effects were compared between the two groups. Results: Three months after treatment, the total effective rate was 92.86% in the observation group, and 71.43% in the control group,the difference being significant(P<0.05). At the end of the 4-week treatment and 1 month and3 months after treatment,the scores of MAS,VAS and RMS in the two groups were decreased when compared with those before treatment(P<0.05),the 3 values in the observation group were lower than those in the control group at the same time period(P<0.05). The FMA scores and BI scores in the two groups were increased when compared with those before treatment(P<0.05),and the two indexes in the observation group were higher than those in the control group at the same time period(P<0.05).Conclusion:Wentong scraping therapy combined with rehabilitation training can effectively improve clinical effects of patients with upper limb spasticity with cerebral infarction in convalescence,reduce the muscle tension of the affected limb,relieve limb spasticity,improve th

关 键 词：脑梗死 上肢痉挛 温通刮痧疗法 康复训练 上肢痉挛程度 上肢运动功能 

分 类 号：R244.4[医药卫生—针灸推拿学] R277.7[医药卫生—中医临床基础]