首页|中医适宜技术对卒中后痉挛性偏瘫患者肢体功能及日常生活活动能力的影响

中医适宜技术对卒中后痉挛性偏瘫患者肢体功能及日常生活活动能力的影响

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目的 观察中医适宜技术对卒中后痉挛性偏瘫患者肢体功能及日常生活活动能力的影响.方法 选择2022年1月至2023年11月黄山市人民医院康复科卒中后痉挛性偏瘫患者84例为研究对象,利用信封盲法分为2组.对照组42例予常规肢体康复训练,治疗组42例在对照组基础上加中医适宜技术中药离子导入疗法、砭石疗法、走罐疗法及疏经通络操,2组均治疗2个月.比较2组治疗前后肌张力、肢体功能、日常生活活动能力和生活质量变化.结果 治疗后,2组上肢和下肢肌张力等级均较本组治疗前明显下降(P<0.05),且治疗组均明显低于对照组(P<0.05).治疗后,2组Fugl-Meyer量表上肢和下肢评分、Barthel指数评分、脑卒中专用生活质量量表评分均较本组治疗前明显升高(P<0.05),且治疗组均高于对照组(P<0.05).结论 中医适宜技术有助于改善卒中后痉挛性偏瘫患者肢体肌张力,提升日常生活活动能力.
Effects of traditional Chinese medicine appropriate technology on limb function and activities of daily living in patients with post-stroke spastic hemiplegia
Objective To analyze the effects of traditional Chinese medicine(TCM)appropriate technology on limb function recovery and activities of daily living(ADL)in patients with post-stroke spastic hemiplegia.Methods A total of 84 patients with post-stroke spastic hemiplegia who were treated in Department of Rehabilitation,Huangshan City People's Hospital between January 2022 and November 2023 were enrolled.They were divided into control group(n=42)and treatment group(n=42)using envelope blind method.All patients were managed by routine limb rehabilitation training,and those in treatment group were additionally given TCM appropriate technology including Chinese medicine ion introduction,bian-stone therapy,moving cupping therapy,Shujing Tongluo exercise.A 2-month treatment was performed in the both groups.The changes of muscle tension,limb function,activities of daily living and quality of life were compared between the two groups before and after treatment.Results After treatment,the Modified Ashworth Scale(MAS)scores for upper limb and lower extremity in groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).The scores of Fugl-Meyer Assessment(FMA)of upper extremity and lower extremity,Barthel index(BI),Stroke Specific Quality of Life Scale(SS-QOL)in groups were significantly increased(P<0.05),which were significantly higher in the treatment group than in the control group(P<0.05).Conclusion The TCM appropriate technology can improve limb muscle tone and enhance ADL in patients with post-stroke spastic hemiplegia.

StrokeTraditional Chinese medicine rehabilitationHemiplegiaLimb functionActivities of daily living

方少琴、钱坤、纪忠

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安徽省黄山市人民医院康复科,安徽 黄山 245000

安徽绿海商业职业学院,安徽 合肥 230001

蚌埠医科大学第一附属医院急诊外科,安徽 蚌埠 233004

卒中 中医康复 偏瘫 肢体功能 日常生活活动

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(12)