改良易筋经疗法在中风患者上肢康复中的应用效果分析  

Analysis of the Application Effect of Improved Yijinjing Therapy in Upper Limb Rehabilitation of Stroke Patients

作　　者：张小凡 张文芳 闫陈静 宁树平 ZHANG Xiaofan;ZHANG Wenfang;YAN Chenjing;NING Shuping(The Second Clinical Medical College,Yunnan University of Traditional Chinese Medicine,Kunming 650000,China;Department of Rehabilitation Medicine,Binchuan County Hospital of Traditional Chinese Medicine,Dali 671000,China)

机构地区：[1]云南中医药大学第二临床医学院,云南昆明650000 [2]云南省宾川县中医医院康复医学科,云南大理671000

出　　处：《中国伤残医学》2025年第5期26-30,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：云南省科技厅科技计划项目(202101AZ070001-104)。

摘　　要：目的:探讨改良易筋经疗法在中风患者上肢康复中的应用效果。方法:选取2020年8月—2023年8月宾川县中医医院康复医学科收治的138例中风患者作为研究对象,按随机数字表法将其分为对照组和研究组,各69例。对照组采用常规康复治疗,研究组采用改良易筋经疗法治疗。两组均治疗28 d。对比两组肢体功能、日常生活能力、肌力状况、关节活动度。结果:治疗后,两组Fugl-Meyer运动功能评定量表评分均较治疗前升高,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组Barthel指数评分均较治疗前升高,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组肌力分级优于对照组,差异有统计学意义(P<0.05)。治疗后,两组关节前屈、外展活动度均较治疗前增大,且研究组大于对照组,差异均有统计学意义(P<0.05)。结论:改良易筋经疗法治疗中风患者有利于患者上肢功能恢复,可提高患者日常生活能力及上肢肌力,增加关节活动度,具有应用价值。Objective:To explore the therapeutic effect of improved Yijinjing therapy in upper limb rehabilitation of stroke patients.Methods:A total of 138 stroke patients admitted to the Rehabilitation Medicine Department of Binchuan County Traditional Chinese Medicine Hospital from August 2020 to August 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 69 cases in each group,using a random number table method.The control group received conventional rehabilitation treatment,while the observation group received modified Yijinging therapy.Both groups were treated 28 d.Limb function,daily living ability,muscle strength and joint motion were compared between the two groups.Results:After treatment,both groups showed an increase in Fugl-Meyer Assessment scores compared to before treatment,and the observation group was higher than the control group,with statistically significant difference(P<0.05).After treatment,the Barthel Index scores of both groups were increased compared to before treatment,and the observation group was higher than that of the control group,with statistical significance(P<0.05).After treatment,the muscle strength grading of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After treatment,the range of motion for joint flexion and abduction in both groups were increased compared to before treatment,and the observation group was higher than the control group,with statistically significant difference(P<0.05).Conclusion:Improvd Yijinjing therapy for stroke patients is beneficial for the recovery of upper limb function,improving daily living ability and upper limb muscle strength,increasing joint mobility,and has practical value.

关 键 词：中风 改良易筋经疗法 康复 

分 类 号：R743[医药卫生—神经病学与精神病学]