| 于洪江,刘 洋,于长新,王秀荣,闫海云.温针灸联合中药湿热敷治疗脑中风后肢体痉挛的疗效及对患者肢体运动、日常活动能力的影响[J].,2019,19(7):1340-1343 |
| 温针灸联合中药湿热敷治疗脑中风后肢体痉挛的疗效及对患者肢体运动、日常活动能力的影响 |
| Effect of Warming Acupuncture Combined with Chinese Herbal Hot Compress on Limb Spasticity after Stroke and Its Influence on Limb Movement and Daily Activity |
| 投稿时间：2018-08-23 修订日期：2018-09-18 |
| DOI：10.13241/j.cnki.pmb.2019.07.032 |
| 中文关键词: 温针灸 中药湿热敷 脑中风 肢体痉挛 肢体运动 日常活动能力 |
| 英文关键词: Warm acupuncture Chinese herbal hot compress Stroke Limb spasm Limb movements Daily activities |
| 基金项目:吉林省中医药管理局科研项目（201601439） |
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| 中文摘要: |
| 摘要 目的：研究温针灸联合中药湿热敷治疗脑中风后肢体痉挛的疗效及对患者肢体运动、日常活动功能的影响。方法：选取2017年3月到2018年4月在长春中医药大学附属医院接受脑中风后肢体痉挛治疗患者60例，按照随机数字表法将所有患者分为观察组和对照组各30例，对照组在常规处理的基础上给予温针灸治疗，观察组在对照组的基础上给予中药湿热敷治疗，采用改良Ashworth量表对比患者治疗前后肢体痉挛改善程度，通过Barthel指数评分对比患者治疗前后的日常活动能力，采用Fugl-Meyer评分对两组患者肢体运动能力进行评定。结果：两组治疗15 d和治疗30 d后的上、下肢体痉挛评分与治疗前比较均明显降低，Fugl-Meyer评分与治疗前比较均明显升高（P<0.05），且治疗30 d后Fugl-Meyer评分与治疗15 d比较明显升高（P<0.05）。治疗15 d、治疗30 d后，观察组上、下肢体痉挛评分均明显低于对照组，Fugl-Meyer评分均高于对照组（P<0.05）。两组治疗30 d后Barthel指数评分较治疗前均有上升，且观察组评分显著高于对照组（P<0.05）。结论：温针灸联合中药湿热敷治疗对脑中风后肢体痉挛有较好的疗效，能有效恢复患者脑中风后肢体运动功能，改善患者日常活动能力。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of warming acupuncture combined with Chinese herbal hot compress on limb spasticity after stroke and its influence on limb movement and daily activity. Methods: A total of 60 patients with limb spasticity after stroke, who were treated in Affiliated Hospital of Changchun University of Traditional Chinese Medicine from March 2017 to April 2018, were se- lected and were randomly divided into observation group(n=30) and control group (n=30). The control group was given warm acupunc- ture treatment on the basis of routine treatment, the observation group was given traditional Chinese herbal hot compress treatment on the basis of the control group's therapy. The degree of spasticity improvement before and after treatment was compared by the improved Ash- worth scale, the daily activity of the patients before and after treatment was evaluated by the Barthel index score, and the physical perfor- mance of the two groups was assessed by Fugl-Meyer scores. Results: The scores of upper and lower limbs spasticity in the two groups 15 d and 30 d after treatment decreased significantly compared with those before treatment, and the Fugl-Meyer scores were significantly higher than that before treatment(P<0.05), and the Fugl-Meyer score 30 d after treatment was significantly higher than that 15 d after treatment(P<0.05). The scores of upper and lower limb spasm in the observation group 15 d and 30 d after treatment were significantly lower than those in the control group(P<0.05). After 30d of treatment,the Barthel index scores of the two groups were higher than those before treatment, and the score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Warming acupuncture combined with Chinese herbal hot compress treatment has a better effect on limb spasticity after stroke, it can effectively promote the recovery of limb motor function after stroke and improve the daily activities and quality of life. |
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