重灸联合Bobath技术在中风后肩手综合征Ⅰ期中的的应用效果  

Application effect of heavy moxibustion combined with Bobath technique in stageⅠshoulder-hand syndrome after stroke

作　　者：付瑶 管淑敏 韩萌萌 李艳[1] 孙平 缴健菲 刘跟莉[3] FU Yao;GUAN Shumin;HAN Mengmeng;LI Yan;SUN Ping;JIAO Jianfei;LIU Genli(Heilongjiang University of Chinese Medicine,Harbin 150000,China;Chengde Nursing Vocational College,Chengde 067000,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150000,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150000 [2]承德护理职业学院,河北承德067000 [3]黑龙江中医药大学附属第二医院,哈尔滨150000

出　　处：《长春中医药大学学报》2025年第2期172-176,共5页Journal of Changchun University of Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY2023-158);黑龙江中医药大学孙申田青年科学基金(2021KY-03)。

摘　　要：目的观察重灸疗法联合Bobath技术治疗中风后肩手综合征Ⅰ期患者的临床疗效。方法选择气虚血瘀型中风后肩手综合征Ⅰ期90例患者,按随机数表法分为重灸组、Bobath组、联合组,各30例。重灸组予重灸治疗,Bobath组予Bobath技术治疗,联合组予重灸结合Bobath技术治疗,比较3组治疗前后疼痛、肿胀、简化上肢运动功能Fugl-Meyer(FMA)评分、生活质量(SF-36)评分、日常生活活动能力、Barthel指数量表(BI)评分变化情况,并评价3组临床疗效结果及安全性。结果联合组临床疗效总有效率(93.33%,28/30)显著高于重灸组(86.67%,26/30)和Bobath组(76.67%,23/30)(P<0.05)。联合组在减轻患者患肢肿胀、疼痛、改善运动功能和日常活动能力方面均明显优于重灸组和Bobath组(P<0.05)。联合组在提高患者生活质量方面明显优于重灸组和Bobath组(P<0.05)。3组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论重灸联合Bobath技术能够显著减轻中风后肩手综合征Ⅰ期患者肢体疼痛和肿胀,提升患者上肢运动功能,提高日常生活活动能力,值得临床推广。Objective To observe the clinical efficacy of heavy moxibustion therapy combined with Bobath technique in the treatment of stageⅠshoulder-hand syndrome after stroke.Methods 90 patients with stageⅠshoulder-hand syndrome after stroke of blood stasis due to qi were selected and randomly divided into the heavy moxibustion group,the Bobath group and the combination group according to random number table method,with 30 cases in each group.The heavy moxibustion group was treated with heavy moxibustion,the Bobath group was treated with Bobath technique,and the combination group was treated with heavy moxibustion combined with Bobath technique.The changes of pain,swelling,simplified upper limb motor function Fugl-Meyer assessment(FMA)score,quality of life(SF-36)score,activities of daily living ability,and Barthel index(BI)before and after treatment in three groups were compared,and the clinical efficacy and safety of three groups were evaluated.Results The total effective rate of clinical efficacy in the combination group(93.33%,28/30)was significantly higher than that in the heavy moxibustion group(86.67%,26/30)and the Bobath group(76.67%,23/30)(P<0.05).The combination group was significantly better than the heavy moxibustion group and the Bobath group in reducing swelling and pain in the affected limb,and improving motor function and daily activity ability(P<0.05).The combination group was significantly better than the heavy moxibustion group and the Bobath group in improving patients'quality of life(P<0.05).There was no statistically significant difference in the incidence of adverse events among three groups(P>0.05).Conclusion Heavy moxibustion combined with the Bobath technique can significantly relieve the limb pain and swelling of patients with stageⅠshoulder-hand syndrome after stroke,and enhance upper limb motor function and activities of daily living,which is worthy of clinical promotion.

关 键 词：中风 肩手综合征 重灸 BOBATH技术 

分 类 号：R246.6[医药卫生—针灸推拿学]