摘要
目的探讨温针灸联合康复治疗对中风恢复期病人中医证候、肌痉挛及神经功能缺损的影响。方法选取2016年1月-2018年1月在我院针灸科就诊的符合纳入条件的中风恢复期病人128例,随机分为观察组和对照组,各64例,对照组给予单纯康复治疗,观察组给予温针灸足三里、关元等穴位配合康复治疗,每日1次,每周5 d,连续4周。采用中医证候积分、改良Ashworth肌张力评定量表、临床神经功能缺损评分(CSS)、简式Fugl-Meyer运动功能评定表(FMA)、日常生活能力量表得分(ADL)分别评定治疗前后两组中医证候疗效、上肢肌肉痉挛程度、神经功能缺损程度、运动功能、日常生活能力变化,评定两组临床疗效总有效率。结果治疗后,两组中医证候积分、改良Ashworth肌张力评定量表评分、CSS评分等较治疗前均有所改善,差异均有统计学意义(P<0.05),且观察组血瘀证及气虚证积分显著低于对照组(P<0.05);观察组改良Ashworth及CSS评分显著低于对照组(P<0.05);观察组FMA评分、ADL得分及疗效总有效率显著高于对照组,差异均有统计学意义(P<0.05)。结论温针灸联合康复治疗对中风恢复期病人具有较好的疗效,能有效改善病人中医证候,减轻肌痉挛,降低神经功能缺损,增强运动功能及日常活动能力。
Objective To explore the effects of warm acupuncture and rehabilitation therapy on traditional Chinese medicine(TCM) syndromes,muscles spasticity and neurological deficits in patients with stroke at convalescence.Methods One hundred twenty-eight patients with stroke at convalescence who met the conditions of enrollment in our hospital from January 2016 to January 2018 were randomly divided into two control group(n=64) treated with rehabilitation therapy,and observation group(n=64) treated with in the basis of rehabilitation therapy for 4 weeks.TCM syndrome scores,Modified Ashworth Scale(MAS),Chinese Stroke Scale(CSS),Fugl-Meyer Assessment Scale(FMA),and Ability of Daily Living(ADL) scale were used to assess the TCM syndrome efficacy,upper extremity muscles spasticity,neurological deficit,motor function,ability of daily living in two groups before and after treatment.The clinical efficacy of the two groups was observed.Results After treatment,the TCM syndrome scores,MAS,CSS scores and other parameters were improved compared with before treatment,the differences were statistically significant(P<0.05).The scores of blood stasis syndrome and qi deficiency syndrome in the observation group were significantly lower than that in the control group(P<0.05).The MAS and CSS scores in the observation group were significantly lower than those in the control group(P<0.05).The FMA score,ADL score and total effective rate in the observation group were significantly higher than that in control group(P<0.05).Conclusion Warm acupuncture and rehabilitation therapy can effectively improve TCM syndromes,reduce tendon and neurological deficits,enhance motor function and activities of daily living in patients with stroke at convalescence.
作者
韩墨洋
HAN Moyang(Beijing Chaoyang Integrative Medicine-Emergency Medicine Center,Beijing 100023,China)
出处
《中西医结合心脑血管病杂志》
2019年第20期3199-3202,共4页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
中风恢复期
温针灸
中医证候
肌肉痉挛
神经功能
stroke at convalescence
warm acupuncture
traditional Chinese medicine syndromes
muscles spasticity
nerve function
