《中国康复理论与实践》

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (1): 112-115.doi: 10.3969/j.issn.1006-9771.2018.01.022

• 临床研究 • 上一篇    下一篇

中药熏洗治疗脑梗死痉挛性瘫痪的效果

廖若夷1,2, 张晓1, 张月娟2, 彭廷云2, 彭勃2   

  1. 1.湖南中医药大学,湖南长沙市 410208
    2.湖南中医药大学第一附属医院,湖南长沙市410007
  • 收稿日期:2017-11-05 修回日期:2017-12-11 出版日期:2018-01-25 发布日期:2018-01-31
  • 通讯作者: 张月娟,博士,主任护师;E-mail:1171825297@qq.com。
  • 作者简介:廖若夷(1970-),女,汉族,湖南益阳市人,硕士,主任护师,主要研究方向：心脑血管疾病中西结合基础和临床。
  • 基金资助:
    1. 湖南省重点研发计划项目(No. 2017SK2113)；2. 湖南省教育厅重点科研项目(No. 17A162)；3. 湖南省学位与研究生教育教改课题(No. JG2016B067)；4.湖南省中医药科研计划重点项目(No. 201410; No. 201604)

Effect of Chinese Medicine Fumigation on Spasticity after Ischemic Stroke

LIAO Ruo-yi1,2, ZHANG Xiao1, ZHANG Yue-juan2, PENG Ting-yun2, PENG Bo2   

  1. 1. Hunan University of Chinese Medicine, Changsha, Hunan 410208, China
    2.The First Hospital of Hunan University of Chinese medicine, Changsha, Hunan 410007, China
  • Received:2017-11-05 Revised:2017-12-11 Published:2018-01-25 Online:2018-01-31
  • Contact: ZHANG Yue-juan.E-mail:1171825297@qq.com
  • Supported by:
    Hunan Key Research and Development Program (No. 2017SK2113), Hunan Education DepartmentKey Research Projects (No. 17A162), Hunan Education and Reform Project in Degree and Postgraduate (No.JG2016B067) and Hunan Key Research Projects of Chinese Traditional Medicine (No. 201410; No. 201604)

PDF (PC)

被引次数

8

摘要： 目的 研究在张力平衡针法基础上联合中药熏洗治疗脑梗死痉挛性瘫痪的临床疗效与安全性。方法 2014年6月至2017年6月脑梗死痉挛性瘫痪患者258例,随机分为对照组(n=130)和观察组(n=128)。两组均给予常规治疗加张力平衡针法,观察组另予中药熏洗患肢,共6周。治疗前、治疗3周后、治疗6周后,采用改良Ashworth量表(MAS)、Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)和神经功能缺损量表(NDS)对患者进行评定,记录不良反应发生情况。结果 治疗3周后,两组患者FMA、MBI与NDS评分均无显著性差异(P>0.05)。治疗6周后,观察组MAS临床疗效明显优于对照组(χ2=11.121, P=0.001);两组患者FMA、MBI与NDS评分均较治疗前改善(t>7.382, P<0.05),观察组FMA、MBI与NDS评分优于对照组(t>4.412, P<0.05);治疗后未出现明显不良反应。结论 加用中药熏洗能改善脑梗死痉挛性瘫痪患者的肌张力、日常生活活动与运动功能。

关键词: 缺血性脑卒中, 痉挛, 针灸, 中药熏洗, 康复

Abstract: Objective To observe the efficacy and security of Chinese Medicine fumigation based on tension balance acupuncture on spasticity after ischemic stroke.Methods From June, 2014 to June, 2017, 258 patients with spasticity after ischemic stroke were assigned into control group (n=130) and observation group (n=128). All the patients received routine rehabilitation and tension balance acupuncture, and the observation group received Chinese Medicine fumigation in addition, for six weeks. They were assessed with modified Ashworth Scale (MAS), Fugl-Meyer Assessment (FMA), modified Barthel Index (MBI) and Neurological Deficit Scale (NDS) before, three weeks and six weeks after treatment. The incidence of side-effect was recorded.Results There was no significant difference in scores of FMA, MBI and NDS between two groups three weeks after treatment (P>0.05). Six weeks after treatment, the scores of FMA, MBI and NDS improved in both groups (t>7.382, P<0.05), and improved more in the observation group than in the control group (t>4.412, P<0.05), while the clinical efficacy on spasm was also better (χ2=11.121, P=0.001). The side-effect was slight in both groups.Conclusion Combination with Chinese Medicine fumigation can ameliorate the spasticity of upper limb in ischemic stroke patients, to promote the recovery of motor function and activities of daily living.

Key words: ischemic stroke, spasticity, acupuncture, Chinese Medicine fumigation, rehabilitation

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