温通手功能疗法治疗卒中后手功能障碍的临床研究  

Clinical study on Wentong hand function therapy for the treatment of hand dysfunction after stroke

作　　者：孟苗苗 张国辉 孟笑男[2] 刘泽键 孙洁 MENG Miaomiao;ZHANG Guohui;MENG Xiaonan;LIU Zejian;SUN Jie(Beijing Xiangheyuan Community Health Service Center,Chaoyang District,Beijing 100028;Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Traditional Chinese Medicine,Beijing 100035;Beijing Xiaotangshan Hospital,Beijing 102211,China)

机构地区：[1]北京市朝阳区香河园社区卫生服务中心,100028 [2]北京中医药大学附属护国寺中医医院,100035 [3]北京小汤山医院,102211

出　　处：《中国老年保健医学》2025年第1期19-22,共4页Chinese Journal of Geriatric Care

基　　金：首都卫生发展科研专项项目(编号:首发2020-3-2022)。

摘　　要：目的观察艾灸配合矫正分离治疗对脑卒中后手功能障碍的临床效果。方法收集2020年6月至2023年4月收治的脑卒中(包括脑出血、脑梗死)后手功能障碍患者52例,采用随机数字表法随机分为对照组和试验组,每组26例。两组均予内科基础治疗加康复训练,试验组再给予艾灸结合矫正分离治疗。应用Fugl-Meyer评定量表(FMA)上肢功能的动作评分、改良Barthel指数评定量表(MBI)评分以及肌肉快速测定,评价治疗前后两组患者的上肢运动功能、日常生活活动能力,以及肌力、肌张力。结果治疗前,两组上述3个量表评分差异均无统计学意义。治疗后试验组FMA评分、MBI评分较对照组均显著升高(P<0.05);治疗后,试验组肌肉快速测定评分高于对照组,组间差异无统计学意义(P>0.05);试验组治疗前后肌肉快速测定的变化值较对照组显著升高(P<0.05)。结论艾灸结合矫正分离的温通手功能疗法可明显改善卒中后偏瘫手的运动功能,提高患者的生活质量。Objective To observe the clinical efficacy of moxibustion combined with corrective segregation therapy on hand dysfunction post-stroke.Methods Fifty-two patients with post-stroke hand dysfunction were randomly divided into a control group(26 subjects)and an experimental group(26 subjects).Both groups received standard internal medicine treatment and rehabilitation exercises,while the experimental group additionally underwent moxibustion combined with corrective segregation therapy.The Fugl-Meyer Assessment Scale(FMA),Modified Barthel Index Scale(MBI),and a rapid muscle test were used to evaluate upper limb motor function,daily functional abilities,muscle strength,and tone before and after treatment.Results There were no significant differences in the three assessment scores between the two groups prior to treatment.Post-treatment,the experimental group showed significant improvements in FMA and MBI scores compared to the control group(P<0.05).Additionally,the score for the rapid muscle test in the experimental group was higher than that of the control group,though this difference was not statistically significant(P>0.05).However,the change in rapid muscle test results before and after treatment in the experimental group showed significant improvement compared to the control group(P<0.05).Conclusion The combination of moxibustion with corrective segregation therapy significantly enhances the motor function of paralytic hands following a stroke,effectively improving the patient's quality of life.

关 键 词：艾灸 温通手功能疗法 脑卒中 手功能障碍 

分 类 号：R277.7[医药卫生—中医学]