调督灸法联合推拿点穴疗法在中风后上肢痉挛性偏瘫患者中的应用研究  

Study on the Application of Tiaodu Moxibustion Combined with Massage and Acupoint Therapy in Patients with Upper Limb Spastic Hemiplegia after Stroke

作　　者：梁瑛林 黄智胜 王艳珊 汪可飞 殷茵 肖观伟 LIANG Ying-lin;HUANG Zhi-sheng;WANG Yan-shan;WANG Ke-fei;YIN Yin;XIAO Guan-wei(Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510006,China;Department of Rehabilitation,Guangzhou Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510800,China;Department of Neurology,Guangzhou Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510800,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广州中医药大学附属广州中西医结合医院康复科,广东广州510800 [3]广州中医药大学附属广州中西医结合医院神经内科,广东广州510800

出　　处：《现代生物医学进展》2024年第21期4188-4190,共3页Progress in Modern Biomedicine

基　　金：广东省中医药局科研项目(20213014)。

摘　　要：目的:观察中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗后的临床疗效。方法:选取86例中风后上肢痉挛性偏瘫患者,采取随机双色球法,将其分为对照组(n=43,常规康复训练干预,推拿点穴疗法治疗)和治疗组(n=43,对照组的基础上接受调督灸法治疗)。对比两组肢体痉挛程度、上肢肌电图指标、手功能恢复情况、上肢运动功能。结果:治疗2个月后治疗组肢体痉挛程度分级改善效果优于对照组(P<0.05)。治疗2个月后,治疗组H反射最大波幅/M波最大波幅(Hmax/Mmax)值、上肢功能障碍评定量表(DASH)评分低于对照组,最大伸展角度(MAE)、手指主动关节活动范围(AROM)、最大屈曲角度(MLE)、Fugl-Meyer运动功能评定量表上肢部分(FMA-UE)、功能综合评定量表(FCA)评分大于对照组(P<0.05)。结论:中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗有利于改善肢体功能。Objective:To observe the clinical efficacy of Tiaodu moxibustion combined with massage and acupoint therapy in patients with upper limb spastic hemiplegia after stroke.Methods:86 patients with upper limb spastic hemiplegia after stroke were selected,the random two-color ball method was adopted,patients were divided into control group(n=43,conventional rehabilitation training intervention,massage and acupoint therapy)and treatment group(n=43,received Tiaodu moxibustion on the basis of control group).The degree of limb spasm,upper limb electromyography index,hand function recovery and upper limb motor function were compared between two groups.Results:2 months after treatment,the improvement effect of limb spasm grade in treatment group was better than that in control group(P<0.05).2 months after treatment,the H reflection maximum amplitude/M wave maximum amplitude(Hmax/Mmax)value and upper limb dysfunction rating scale(DASH)score in treatment group were lower than those in control group,and the maximum extension angle(MAE),range of motion of finger active joint(AROM),maximum flexion angle(MLE),upper limb part of Fugl-Meyer motor function rating scale(FMA-UE)and functional comprehensive rating scale(FCA)scores were higher than those in control group(P<0.05).Conclusion:Tiaodu moxibustion combined with massage and acupoint therapy is beneficial to improve limb function in patients with upper limb spastic hemiplegia after stroke.

关 键 词：调督灸法 推拿点穴疗法 中风 上肢痉挛性偏瘫 

分 类 号：R743[医药卫生—神经病学与精神病学] R244[医药卫生—临床医学]