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.
WANG Kai-long, PANG Jun, HUANG Jin-ming, TANG Hong-liang, LEI Long-ming, ZHOU Bin-bin, ZHANG Chong, GAN Zhen-bao
. Effects of Zhuang Medicine Jib on Spastic Hemiplegia after Stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(1)
: 89
-91
.
DOI: 10.3969/j.issn.1006-9771.2017.01.021
[1] 王开龙,黄永,周宾宾,等. 头颈面部穴位按摩治疗脑卒中后吞咽障碍的疗效[J]. 中国康复理论与实践, 2014, 20(3): 269-271.
[2] 林静,黎丽群,朱元元,等. 子午流注纳甲针刺法治疗中风研究的系统评价[J]. 中华中医药学刊, 2016, 34(6): 1374-1377.
[3] 刘悦,苏美銮,刘雅玲. 针刺拮抗肌群对脑卒中后上肢痉挛的效果[J]. 中国康复理论与实践, 2015, 21(5): 579-582.
[4] 叶大勇,张希彬,李宝.改良腕手关节矫形器对脑卒中偏瘫患者腕手关节屈肌痉挛及运动功能的疗效[J]. 中国康复理论与实践, 2015, 21(7): 811-815.
[5] 徐基民,刘兰群,李艳丽,等. 针刺在中西医结合脑卒中康复中的应用体会[J]. 中国康复理论与实践, 2016, 22(2): 245-248.
[6] 黄永,王开龙,雷龙鸣. 传统中医与现代康复医学理论指导下中风偏瘫推拿方法探讨[J]. 中国民族民间医药, 2015, 24(21): 142, 144.
[7] 黄永,王开龙,雷龙鸣. 中西医结合综合康复方法治疗中风偏瘫50例[J]. 中国中医药现代远程教育, 2015, 13(17): 67-69.
[8] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[9] 中华全国中医学会内科学会. 中风病中医诊断、疗效评定标准[J]. 中国医药学报, 1986, 1(2): 56-57.
[10] 梁江洪,卢中连,黄规平. 壮医药物内服及熏洗治疗麻邦(中风偏瘫)[J]. 中国民族医药杂志, 2015, 21(5): 20-21.
[11] 聂文彬,赵宏. 偏瘫肩痛的经筋辨证实例分析[J]. 北京中医药, 2012, 31(12): 934-935.
[12] 盛国滨,孟悦,唐英. 电针经筋结点对缺血性脑卒中急性期偏瘫的疗效观察[J]. 针灸临床杂志, 2016, 32(1): 56-58.
[13] 雷龙鸣,庞军,黄锦军,等. 壮医手法理筋结合针刺消灶治疗偏头痛75例[J]. 中国民族民间医药, 2014, 23(14): 3-4.
[14] 范江华,王开龙,周宾宾,等. 壮医经筋挑刺法治疗中风偏瘫痉挛状态的临床研究[J]. 中国民族民间医药, 2015, 24(10): 3-4.
[15] 杨慎峭,金荣疆,朱天民,等. 康复训练结合电针对脑卒中肢体痉挛大鼠γ-氨基丁酸能中间神经元表达的影响[J]. 中国康复医学杂志, 2013, 28(3): 198-203.
[16] 杨慎峭,冯立娟,毛雪莲,等. 电针结合康复训练对脑卒中肢体痉挛大鼠突触结合蛋白Ⅰ表达的影响研究[J]. 时珍国医国药, 2013, 24(9): 2300-2303.
[17] 杨翊,周光涛,刘经星,等. 不同体位、不同针刺取穴治疗脑卒中痉挛性偏瘫疗效对比观察[J]. 中国康复医学杂志, 2012, 27(4): 370-371.
[18] 娄必丹,章薇,刘智,等. 张力平衡针法对脑卒中痉挛瘫痪患者血脂和血糖的调节作用[J]. 中国康复, 2006, 21(2): 81-82.
[19] 郑伟,王升强,张洁. 电针运动终板体表投影治疗脑卒中后偏瘫痉挛状态的临床观察[J]. 中国康复医学杂志, 2012, 27(11): 1070-1072.
[20] 李惠兰,李大鹏,郑涛. 偏瘫痉挛的中医推拿治疗现状[J]. 中国康复理论与实践, 2011, 17(6): 557-559.
[21] 范江华,黄永,王开龙,等. 从循证医学角度分析推拿治疗中风后痉挛性偏瘫的疗效[J]. 中国中医基础医学杂志, 2016, 22(2): 242-248, 260.
[22] 胡庆,庞军,唐宏亮,等. 枢经推拿法治疗脑梗塞后肢体功能障碍的疗效观察[J]. 辽宁中医杂志, 2016, 43(6): 1275-1276.