热敏灸联合针刀治疗脑卒中后上肢屈肌痉挛的临床研究  

Clinical study of thermosensitive moxibustion combined with acupotomy in the treatment of upper limb flexor spasm after stroke

作　　者：范凌燕 陈丽雪 曾清平 祝丽松 罗小军 钟伟 FAN Ling-yan;CHEN Li-xue;ZENG Qing-ping;ZHU Li-song;LUO Xiao-jun;ZHONG Wei

机构地区：[1]赣州市南康区中医院针灸康复科,江西赣州341400

出　　处：《中国疗养医学》2024年第4期29-33,共5页Chinese Journal of Convalescent Medicine

基　　金：江西省中医药管理局科技计划课题(2021B127)。

摘　　要：目的 分析热敏灸联合针刀治疗在脑卒中后上肢屈肌痉挛患者中的效果。方法 选取2021年7月至2023年6月赣州市南康区中医院收治的120例脑卒中后上肢屈肌痉挛患者,按随机数字表分为三组,每组各40例。对照组2仅行常规治疗,对照组1于对照组2基础上加以热敏灸治疗,研究组在对照组1基础上加以针刀治疗,均持续治疗1个月。对比三组临床疗效、肌张力、上肢运动功能、日常生活能力、不良反应。结果 研究组治疗总有效率优于对照组1、对照组2,肌张力改善优于对照组1、对照组2,差异有统计学意义(P<0.05);治疗前,三组上肢简化Fulg-Meyer运动功能评定(FMA)量表评分、改良Barthel指数(MBI)相比,差异无统计学意义(P>0.05);治疗第14天、治疗第28天、治疗结束后1个月,研究组上肢FMA评分、MBI高于对照组1、对照组2,差异有统计学意义(P<0.05);三组不良反应相当,差异无统计学意义(P>0.05)。结论 热敏灸联合针刀治疗可降低脑卒中后上肢屈肌痉挛患者肌张力,加速上肢运动功能恢复,改善日常生活能力,且无严重不良反应。Objective To analyze the effect of thermosensitive moxibustion combined with acupotomy therapy in patients with upper limb flexor spasm after stroke.Methods 120 patients with upper limb flexor spasm after stroke admitted to Nankang District Traditional Chinese Medicine Hospital in Ganzhou City from July 2021 to June 2023 were randomly divided into three groups,with 40 cases in each group.The control group 2 only received routine treatment,the control group 1 received thermosensitive moxibustion treatment on the basis of the control group 2,and the study group received acupotomy treatment on the basis of the control group 1,with continuous treatment for one month.The clinical efficacy,muscle tone,upper limb motor function,daily living ability,and adverse reactions among three groups were compared.Results The total effective rate of the study group was better than that of the control group 1 and the control group 2,and the improvement of muscle tone was better than that of the control group 1 and the control group 2,with difference of statistical significance(P<0.05);Before treatment,there was no statistically significant difference(P>0.05)in the scores of the simplified Fulg Meyer motor function assessment(FMA)scale and the modified Barthel index(MBI)among the three groups;On the 14th day of treatment,the 28th day of treatment,and one month after the end of treatment,the FMA score and MBI of the upper limbs in the study group were higher than those in the control group 1and the control group 2,with difference of statistical significance(P<0.05);The three groups had similar adverse reactions,and the difference was not statistically significant(P>0.05).Conclusion Thermosensitive moxibustion combined with acupotomy therapy can reduce muscle tone,accelerate the recovery of upper limb motor function,improve daily living ability,and have no serious adverse reactions in patients with upper limb flexor spasm after stroke.

关 键 词：脑卒中 上肢屈肌痉挛 热敏灸 针刀 不良反应 

分 类 号：R246.6[医药卫生—针灸推拿学]