|
| 调督灸法联合推拿点穴疗法在中风后上肢痉挛性偏瘫患者中的应用研究 |
| Study on the application of Tiaodu moxibustion combined with massage and acupoint therapy in patients with upper limb spastic hemiplegia after stroke |
| 投稿时间：2024-06-05 修订日期：2024-06-05 |
| DOI： |
| 中文关键词: 调督灸法 推拿点穴疗法 中风 上肢痉挛性偏瘫 |
| 英文关键词: Tiaodu moxibustion Massage and acupoint therapy Stroke Upper limb spastic hemiplegia |
| 基金项目:广东省中医药局科研项目(20213014) |
|
| 摘要点击次数: 22 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：观察中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗后的临床疗效。方法：2021年5月~2023年3月期间，选取86例我院收治的中风后上肢痉挛性偏瘫患者，采取随机双色球法，将其分为对照组（常规康复训练干预+推拿点穴疗法治疗）和治疗组（对照组的基础上接受调督灸法治疗），两组例数均为43例。对比两组肢体痉挛程度、上肢肌电图指标、手功能恢复情况、上肢运动功能。结果：治疗2个月后治疗组肢体痉挛程度分级改善效果优于对照组（P＜0.05）。治疗1个月后、治疗2个月后，两组H反射最大波幅/M波最大波幅（Hmax/Mmax）值持续下降（P＜0.05），且治疗组Hmax/Mmax值低于对照组（P＜0.05）。治疗1个月后、治疗2个月后，两组最大伸展角度（MAE）、手指主动关节活动范围（AROM）、最大屈曲角度（MLE）持续增大（P<0.05），且治疗组MAE、AROM、MLE大于对照组（P＜0.05）。治疗1个月后、治疗2个月后，两组Fugl-Meyer运动功能评定量表上肢部分（FMA-UE）、功能综合评定量表（FCA）评分升高，上肢功能障碍评定量表（DASH）评分下降（P＜0.05），且治疗组FMA-UE、FCA评分高于对照组，DASH评分低于对照组（P＜0.05）。结论：中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗，上肢功能、肢体痉挛程度得到显著改善，有利于改善人体手功能。 |
| 英文摘要: |
| Objective: To observe the clinical efficacy of Tiaodu moxibustion combined with massage and acupoint therapy in patients with upper limb spastic hemiplegia after stroke. Methods: From May 2021 to March 2023, 86 patients with upper limb spastic hemiplegia after stroke admitted to our hospital were selected and divided into a control group (conventional rehabilitation training intervention + massage and acupoint therapy) and a treatment group (received Tiaodu moxibustion on the basis of control group) using the random two-color ball method, the number of cases in both groups was 43. The degree of limb spasm, upper limb electromyography indexes, hand function recovery and upper limb motor function were compared between the two groups. Results: The improvement effect of limb spasm grading in treatment group was better than that in control group 2 months after treatment (P<0.05). After 1 month of treatment and 2 months of treatment, the maximum amplitude of H reflection/maximum amplitude of M wave (Hmax/Mmax) in the two groups continued to decrease (P<0.05) , and the Hmax/Mmax value in the treatment group was lower than that in the control group (P<0.05). After 1 month of treatment and 2 months of treatment, the maximum extension angle (MAE), active range of motion (AROM) and maximum flexion angle (MLE) of the fingers in both groups continued to increase (P<0.05) and the MAE, AROM and MLE in treatment group were higher than those in the control group (P<0.05). After 1 month of treatment and 2 months of treatment, the scores of Fugl-Meyer motor function assessment scale upper?extremity (FMA-UE) and functional comprehensive assessment scale (FCA) of the two groups increased, while the scores of Disabilities of the Arm, Shoulder, and Hand (DASH) decreased, and the FMA-UE and FCA scores of the treatment group were higher than those of the control group, and the DASH score was lower than that of the control group (P<0.05). Conclusion: In patients with upper limb spastic hemiplegia after stroke, the function of the upper limb and the degree of limb spasm were significantly improved by Tiaodu moxibustion combined with massage and acupoint therapy, which is conducive to improving human hand function. |
|
View Fulltext
查看/发表评论 下载PDF阅读器 |
| 关闭 |
