中药塌渍配合康复训练治疗中风后膝过伸的临床疗效观察  

Observation on clinical efficacy of Chinese medicine hot compress combined with rehabilitation training on knee hyperextension after stroke

作　　者：董文娟 DONG Wen-juan(Department of Rehabilitation Medicine,Ganyu District Hospital of Traditional Chinese Medicine,Lianyungang 222100,China)

机构地区：[1]江苏省连云港市赣榆区中医院康复医学科,222100

出　　处：《中国实用医药》2025年第3期124-128,共5页China Practical Medicine

摘　　要：目的观察中风后膝过伸采用康复训练与中药塌渍配合治疗的临床疗效。方法选取中风后膝过伸患者70例,随机分为配合治疗组及单独治疗组,各35例。配合治疗组采用康复训练配合中药塌渍治疗,单独治疗组采用康复训练单独治疗。比较两组峰力矩、膝关节过伸次数、疼痛程度[视觉模拟评分法(VAS)评分]、下肢功能[Fugl-Meyer运动功能评分(FMA)]、平衡功能[Berg平衡量表(BBS)评分]、行走功能[Holden步行功能分级量表(FAC)评分]、日常生活能力[Barthel指数(BI)评分],临床疗效,康复依从性,康复结局,满意度。结果治疗后,配合治疗组患者的伸肌峰力矩(65.78±6.72)N/m、屈肌峰力矩(39.78±6.72)N/m、FMA评分(32.13±5.38)分、BBS评分(45.73±6.38)分、FAC评分(3.51±1.13)分、BI评分(58.68±9.56)分均高于单独治疗组的(48.56±5.62)N/m、(30.55±5.66)N/m、(25.78±4.72)分、(34.58±5.61)分、(2.32±0.20)分、(46.36±4.72)分,膝关节过伸次数(12.58±2.24)次/d、VAS评分(1.40±0.23)分均低于单独治疗组的(19.62±3.78)次/d、(3.21±0.47)分(P<0.05)。配合治疗组患者的有效率80.00%(28/35)高于单独治疗组的57.14%(20/35)(χ^(2)=4.242,P=0.039<0.05)。配合治疗组患者的康复锻炼、日常指导、定期复查依从性分别为97.14%、97.14%、94.29%,均高于单独治疗组的74.29%、71.43%、65.71%(P<0.05)。配合治疗组患者的康复效果、专业技能、服务态度优良率均高于单独治疗组(P<0.05)。配合治疗组患者的满意度94.29%高于单独治疗组的71.43%(P<0.05)。结论中风后膝过伸采用康复训练与中药塌渍配合治疗的临床疗效较康复训练单独治疗显著。Objective To observe the clinical efficacy of Chinese medicine hot compress combined with rehabilitation training on knee hyperextension after stroke.Methods A total of 70 patients with knee hyperextension after stroke were randomly divided into a combined treatment group and a single treatment group,each with 35 cases.The combined treatment group was treated with rehabilitation training combined with Chinese medicine hot compress,and the single treatment group was treated with rehabilitation training alone.Both groups were compared in terms of peak moment,frequency of knee hyperextension,pain degree[Visual Analogue Scale(VAS)score],lower limb function[Fugl-Meyer Assessment(FMA)score],balance function[Berg Balance Scale(BBS)score],walking function[Functional Ambulation Classification(FAC)score]and daily living ability[Barthel Index(BI)score],clinical efficacy,rehabilitation compliance,rehabilitation outcome,and satisfaction.Results After treatment,in the combined treatment group,the peak knee extensor moment was(65.78±6.72)N/m,the peak knee flexor moment was(39.78±6.72)N/m,FMA score was(32.13±5.38)points,BBS score was(45.73±6.38)points,FAC score was(3.51±1.13)points and BI score was(58.68±9.56)points,which were higher than(48.56±5.62)N/m,(30.55±5.66)N/m,(25.78±4.72)points,(34.58±5.61)points,(2.32±0.20)points and(46.36±4.72)points in the single treatment group;the frequency of knee hyperextension and VAS score were(12.58±2.24)times/d and(1.40±0.23)points in the combined treatment group,which were lower than(19.62±3.78)times/d and(3.21±0.47)points in the single treatment group(P<0.05).The effective rate in the combined treatment group was 80.00%(28/35),which was higher than 57.14%(20/35)in the single treatment group(χ^(2)=4.242,P=0.039<0.05).The compliance of rehabilitation exercise,daily instruction and regular review in the combined treatment group were 97.14%,97.14%and 94.29%,which were higher than 74.29%,71.43%and 65.71%in the single treatment group(P<0.05).The excellent rate of rehabilitation

关 键 词：中风后膝过伸 康复训练 中药塌渍 疼痛程度 下肢功能 康复依从性 

分 类 号：R255.2[医药卫生—中医内科学]