《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (5): 524-528.doi: 10.3969/j.issn.1006-9771.2019.05.005

• 专题 脑卒中并发症康复 • 上一篇    下一篇

肌内效贴导向疗法对卒中后面瘫及流涎的作用

陈柱1, 徐倩1, 王萍1, 邱雪梅1, 施伯瀚1, 孙勇2, 朱燕1, 单春雷3   

  1. 1.上海市第二康复医院言语-语言-吞咽治疗中心，上海市 200441
    2.上海市宝山区中西医结合医院康复科，上海市 201900
    3.上海中医药大学康复医学院，上海市 201203
  • 收稿日期:2018-08-14 修回日期:2018-09-30 出版日期:2019-05-25 发布日期:2019-05-29
  • 通讯作者: 单春雷，E-mail： shanclhappy@163.com;朱燕,E-mail: 80743682@qq.com
  • 作者简介:陈柱(1990-)，女，汉族，江苏南通市人，主管技师，主要从事脑卒中后康复。
  • 基金资助:
    1.国家自然科学基金面上项目(No. 81874035)；2.基金项目:上海市宝山区卫计委重点建设项目(No. BSZK-2018-A01)

Effect of Kinesio Taping Guided Therapy on Facial Paralysis and Salivation after Stroke

CHEN Zhu1, XU Qian1, WANG Ping1, QIU Xue-mei1, SHI Bo-han1, SUN Yong2, ZHU Yan1, SHAN Chun-lei3   

  1. 1.Centre of Speech-Language-Swallow Rehabilitation, The Second Rehabilitation Hospital of Shanghai, Shanghai 200441, China
    2.Shanghai Baoshan District Hospital of Integrated Chinese and Western Medicine, Shanghai 201900, China
    3.Rehabilitation Medical College of Shanghai University of Tranditional Chinese Medicine, Shanghai 201203, China
  • Received:2018-08-14 Revised:2018-09-30 Published:2019-05-25 Online:2019-05-29
  • Contact: SHAN Chun-lei, E-mail： shanclhappy@163.com; ZHU Yan, E-mail： 80743682@qq.com
  • Supported by:
    National Natural Science Foundation of China (General) (No. 81874035) and Shanghai Baoshan Committee on Health and Family Planning Key Program (No. BSZK-2018-A01)

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摘要： 目的 观察基于具身认知理论的肌内效贴导向疗法治疗脑卒中后面瘫及流涎的临床疗效。方法 2018年1月至7月，脑卒中后中枢性面瘫患者30例随机分成对照组和观察组，各15例。对照组采用冰棉块刷擦刺激、面部手法按摩、面肌功能训练和低频脉冲电刺激治疗；观察组在面部手法、面肌功能训练的同时，使用“Y”形或“O”形贴布交替进行肌内效贴导向治疗，并嘱患者尽量保持贴扎至第2天。治疗前和治疗4周后，采用教师流涎量表(TDS)、House-Brackmann (H-B)分级和面神经功能临床评定量表进行评估。结果 治疗后，两组TDS分级、H-B分级和面神经功能临床评定量表评分均改善(Z > 2.460, t > 4.971, P < 0.05)，观察组明显优于对照组(Z > 2.817, t > 4.964, P < 0.01)。结论 肌内效贴导向疗法治疗脑卒中后中枢性面瘫和流涎有效。

关键词: 脑卒中, 中枢性面瘫, 流涎, 肌内效贴

Abstract: Objective To observe the clinical efficacy of Kinesio Taping guided therapy on facial paralysis and salivation after stroke.Methods From January to July, 2018, 30 patients with central facial palsy were randomly divided into control group (n = 15) and observation group (n = 15). The control group accepted ice stimulation, facial massage, facial muscle function training and low-frequency electrical stimulation, while the observation group accepted Kinesio Taping of "Y" or "O" shape alternately during massage and facial muscle function training, and kept taping for a day if possible. They were assessed with Teacher Drooling Scale (TDS), House-Brackmann (H-B) Scale and Facial Nerve Function Scale before and four weeks after treatment. Results Both groups improved in the scores of TDS, H-B Scale and Facial Nerve Function Scale after treatment (Z > 2.460, t > 4.971, P < 0.05), and improved more in the observation group than in the control group (Z > 2.817, t > 4.964, P < 0.01). Conclusion Kinesio Taping guided therapy is effective on central facial paralysis and salivation after stroke.

Key words: stroke, central facial palsy, salivation, Kinesio Taping

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