首页|化痰通络方联合穴位推拿按摩对脑梗死后痉挛性偏瘫患者的效果

化痰通络方联合穴位推拿按摩对脑梗死后痉挛性偏瘫患者的效果

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目的:探讨化瘀通络方联合穴位推拿按摩对脑梗死后痉挛性偏瘫(SH)的效果.方法:选取 2020 年 8 月—2022 年 8 月湛江市第二中医医院收治的 86 例脑梗死后SH患者,按随机数字表法分为两组,各 43 例.对照组予以常规治疗及康复锻炼治疗,观察组加用化痰通络方联合穴位推拿按摩治疗,两组均持续治疗 4 周.比较两组临床疗效、肢体痉挛程度、日常生活能力、运动能力、中医症状积分及安全性.结果:观察组总有效率较对照组高,治疗后临床痉挛指数(CSI)评分较对照组低,Barthel指数(BI)评分、Fugl-Meyer运动功能评定量表(FMA)评分均较对照组高,半身不遂、口舌歪斜、手足拘急、肢体麻木积分均低于对照组,差异均有统计学意义(P<0.05);两组均无明显不良反应.结论:化痰通络方联合穴位推拿按摩应用于脑梗死后SH患者中疗效确切,能减轻肢体痉挛,改善运动能力.
The Effect of Huatan Tongluo Formula Combined with Acupoint Massage in Patients with Spastic Hemiplegia after Cerebral Infarction
Objective:To explore the effect of Huatan Tongluo Formula combined with acupoint massage on spastic hemiplegia(SH)after cerebral infarction.Method:A total of 86 patients with post-stroke SH admitted to Zhanjiang the Second Hospital of T.C.M from August 2020 to August 2022 were selected and randomly divided into two groups,with 43 patients in each group.The control group was treated with routine treatment and rehabilitation exercise,while the observation group was added with Huatan Tongluo Formula combined with acupoint massage,both groups lasted treatment for 4 weeks.The clinical efficacy,degree of limb spasms,daily living ability,motor ability,traditional Chinese medicine symptom score,and safety between two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the clinical spasticity index(CSI)score after treatment was lower than that of the control group;the Barthel index(BI)score and Fugl-Meyer motor function assessment scale(FMA)score of the observation group were both higher than those of the control group,the scores of hemiplegia,tongue deviation,hand and foot stiffness and limb numbness of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).There were no significant adverse reactions in both groups.Conclusion:The combination of Huatan Tongluo Formula and acupoint massage is effective in treating SH patients after cerebral infarction,reducing limb spasms and improving motor ability.

Spastic hemiplegia after cerebral infarctionHuatan Tongluo FormulaAcupoint massage and massageDegree of limb spasms

梁倩莹、李志明

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湛江市第二中医医院针灸科 广东 湛江 524000

广东医科大学附属第二医院神经内科 广东 湛江 524000

脑梗死后痉挛性偏瘫 化痰通络方 穴位推拿按摩 肢体痉挛程度

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(3)
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