脑卒中后上肢痉挛行循经火龙罐联合中药湿热敷效果观察  

Effectiveness of Chinese herbal moist-heat therapy combining Meridian-based Huolong cupping on upper-limb spasticity after stroke

作　　者：王月英 葛芳[1] 王俊杰[2] 叶俏慧 陈忠美 裘露丹 Wang Yueying;Ge Fang;Wang Junjie;Ye Qiaohui;Chen Zhongmei;Qiu Ludan(Hangzhou Hospital of Traditional Chinese Medicine,Zhejiang Traditional Chinese Medicine University,Hangzhou 310007,China)

机构地区：[1]浙江中医药大学附属杭州市中医院,浙江杭州310007 [2]浙江中医药大学护理学院

出　　处：《护理学杂志》2023年第20期49-52,共4页Journal of Nursing Science

基　　金：浙江省中医药管理局科研项目(2021ZA095)。

摘　　要：目的 改善脑卒中后患者上肢痉挛情况,促进患肢运动功能恢复。方法 将住院的78例脑卒中上肢痉挛患者随机分为对照组与观察组各39例;在常规治疗的基础上对照组行单纯中药湿热敷,观察组给予循经火龙罐联合中药湿热敷。干预4周后评价效果。结果 干预后,观察组日常生活能力评分、上肢运动功能评分、改良Ashworth痉挛评分显著优于对照组(均P<0.05)。结论 对脑卒中后上肢痉挛患者,采用循经火龙罐联合中药湿热敷,较单纯中药湿热敷可更有效地降低痉挛状态,促进上肢运动功能恢复。Objective To attenuate upper-limb spasticity in stroke patients and enhance the recovery of upper extremity function.Methods Totally,78 stroke patients with upper-limb spasticity were randomized into one of two groups,with 39 cases in each group.The control group were treated with Chinese herbal moist-heat therapy,while the observation group additionally received meridian-based Huolong(Fire Dragon)cupping therapy.Effects were evaluated after four-week intervention.Results After intervention,the observation group had improved ability of activities of daily living,upper limb motor function,and modified Ashworth spasticity score compared with the control group(all P<0.05).Conclusion Use of meridian-based Huolong cupping combined with Chinese herbal moist-heat therapy proves to be more effective than conventional therapy in reducing spasticity and promoting the recovery of upper limb motor function.

关 键 词：脑卒中 上肢痉挛 火龙罐 中药湿热敷 循经 日常生活能力 上肢运动功能 中医护理 

分 类 号：R248.1[医药卫生—中医临床基础] R473.5[医药卫生—中医学]