摘要
目的:评价龙氏治脊疗法对中风后遗症患者日常生活活动能力和运动功能的影响。方法:将80例中风后遗症患者随机分为治疗组和对照组各40例,对照组采用单纯针灸治疗,取穴采用醒脑调神、疏通经络法,以手厥阴经、督脉及足太阴经穴为主,治疗组则采用针灸配合龙氏正骨手法治疗,采用ADL评分、FIM评分、总体疗效及FAC评分、Berg平衡量表评价两组临床疗效。结果:治疗组ADL、FIM改善程度均优于对照组(P<0.05),治疗后FAC、Berg评分差异无统计学意义(P>0.05);治疗组总有效率为95.00%,高于对照组的77.50%(P<0.05)。结论:龙氏正骨手法严守"三步定位诊断法",精准诊疗,避免漏诊、误诊,通过调整脊柱椎体和关节的错位,结合推拿手法缓解中风患者肌肉紧张状态,促进局部血液循环,从而达到骨正筋柔,使脊柱生物力学平衡状态得以恢复,进而提高肢体的肌力,对中风后遗症患者生活自理能力和运动功能的提高有良好疗效,值得应用推广。
Objective: To evaluate the effect of Long’s chiropractic therapy on daily living activities and motor function in patients with apoplexy sequelae. Methods: 80 patients with apoplexy sequelae were randomly divided into treatment group(n=40)and control group(n=40), the control group treated with single acupuncture therapy, which acupoints selection was performed by refreshing the brain, regulating nerves and dredging channels and collaterals, and mainly chose hand Jue-yin meridian, Du vein and foot Tai-yin meridian, while treatment group treated with acupuncture combined with Long’s chiropractic therapy, and evaluated the efficacy with ADL score, FIM score, overall efficacy and FAC score, Berg balance scale. Results: The improvement of ADL, FIM scores were better than control group(P<0.05), while FAC and Berg scores had no statistical difference between the two groups after treatment(P>0.05);the overall response rate of treatment group was 95.00%, which was higher than 77.50% that of control group(P<0.05). Conclusion: Long’s chiropractic therapy follows "three-step localization diagnosis", accurate diagnosis and treatment, avoids missed diagnosis and misdiagnosis, by adjusting the spinal vertebral body and joint dislocation, combined with massage to relieve stroke patients muscle tension, promote local blood circulation, so as to achieve soft bone is muscle, make the spinal biomechanical balance was restored, and thus enhanced the strength of body and life self-care ability and motor function in patients with stroke sequela rise has good curative effect, is worth popularizing application.
作者
范德辉
苏美意
张振宁
欧志文
FAN De-hui;SU Mei-yi;ZHANG Zhen-ning;OU Zhi-wen(Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510095)
出处
《按摩与康复医学》
2020年第17期18-20,33,共4页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省中医药局科研课题,编号:20181037
范德辉广东省名中医药传承工作室建设项目,编号:粤中医办函{2018}134号。
关键词
中风后遗症
龙氏治脊疗法
针灸疗法
功能恢复
规范化
apoplexy sequelae
Long’s chiropractic therapy
acupuncture therapy
functional recovery
normalization
