《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (1): 89-91.doi: 10.3969/j.issn.1006-9771.2017.01.021

• 临床研究 • 上一篇    下一篇

王开龙,庞军,黄瑾明,唐宏亮,雷龙鸣,周宾宾,张冲,甘振宝

广西中医药大学第一附属医院, 广西南宁市530023   

  1. [摘要] 目的 观察壮医经筋挑刺法对脑卒中后偏瘫肢体痉挛的疗效。方法 2014年1月至2015年12月,55例脑卒中后偏瘫痉挛患者随机分为治疗组(n=27)与对照组(n=28)。两组均接受常规康复治疗及中医针刺治疗,治疗组加用壮医经筋挑刺疗法。治疗前及治疗4周后,采用改良Ashworth量表(MAS)、Barthel指数(BI)、简化Fugl-Meyer评定量表(FMA)进行评定。随访3个月,记录不良事件发生。结果 两组治疗后MAS、BI、FMA评分均明显改善(t>
    3.32, P<
    0.01),治疗组优于对照组(t>
    2.286, P<
    0.05)。随访期间未发现不良事件发生。结论 配合壮医经筋挑刺法能更好缓解脑卒中后偏瘫患者的肌张力,改善其运动功能,提高生活自理能力。
  • 收稿日期:2016-08-03 出版日期:2017-01-20 发布日期:2017-02-17
  • 作者简介:王开龙(1977-),男,汉族,湖南株洲市人,硕士,副主任医师,主要研究方向:针灸推拿在康复医学的应用。通讯作者:唐宏亮(1980-),男,广西兴安县人,硕士,副教授,主要研究方向:针灸推拿干预亚健康及常见病。E-mail: 2365401997@qq.com。
  • 基金资助:
    新世纪广西高等教育教学改革工程项目(No.2012JGA159); 广西卫生厅壮瑶医药研究与开发项目(No; GZZY13-19); 广西中医药大学科研项目面上项目(No.2015MS23); 广西高校中青年教师基础能力提升项目(No; KY2016YB223)

Effects of Zhuang Medicine Jib on Spastic Hemiplegia after Stroke

WANG Kai-long, PANG Jun, HUANG Jin-ming, TANG Hong-liang, LEI Long-ming, ZHOU Bin-bin, ZHANG Chong, GAN Zhen-bao   

  1. The First Affliated Hospital of Guangxi University of Chinese Medicine, Nanning, Guangxi 530023, China
  • Received:2016-08-03 Published:2017-01-20 Online:2017-02-17
  • Contact: TANG Hong-liang. E-mail: 2365401997@qq.com

关键词: 脑卒中, 偏瘫, 痉挛, 壮医经筋挑刺, 康复

Abstract: Objective To observe the effect of Zhuang Medicine Jib on spasm in hemiplegics after stroke. Methods From January, 2014 to December, 2015, 55 patients with spastic hemiplegia after stroke were divided randomly into treatment group (n=27) and control group (n=28). Both groups accepted routine rehabilitation and acupuncture, while the treatment group accepted Zhuang Medicine Jib in addition. They were assessed with modified Ashworth Scale (MAS), Barthel index (BI), Simpling Fugl-Meyer Assessment (FMA) before and four weeks after treatment. The side-effects within three months after treatment were recorded. Results The scores of MAS, BI and FMA improved in both groups after treatment (t>3.32, P<0.01), and improved more in the treatment group than in the control group (t>2.286, P<0.05). No side-effect was found in the follow-up. Conclusion Zhuang Medicine Jib can further relieve spasm after stroke, and improve the motor function and activities of daily living.

Key words: stroke, hemiplegia, spasm, Zhuang Medicine Jib, rehabilitation

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