摘要
目的 分析对脑卒中偏瘫患者手痉挛状态实施艾灸配合康复治疗的有效性。方法 从2018年6月-2020年6月择取60例脑卒中偏瘫手痉挛患者,根据入院时间予以分组研究,对照组(30例)实施针对性康复治疗,研究组(30例)实施艾灸配合康复治疗,对照分析两组临床效果,即改良Ashworth分级中0级患者占比、肢体功能改善情况和生活能力改善情况。结果 从改良Ashworth分级来看,治疗2周、治疗4周、治疗后1个月、治疗后3个月及治疗后6个月0级患者占比情况研究组较对照组高;从Fugl-Meyer量表评分来看,治疗2周、治疗4周、治疗后1个月、治疗后两个时间阶段研究组评分均高于对照组;两组患者在Barthel指数评分上,研究组各阶段评分更高;上述差异显著具备统计学意义(P<0.05)。结论 对于脑卒中偏瘫手痉挛状态患者,艾灸联合康复治疗可改善痉挛状态,通过运动功能,使临床结局得到改善,临床价值显著。
Objective To analyze effectiveness of moxibustion combined with rehabilitation in treatment of hand spasm of stroke patients with hemiplegia.Methods The paper chose 60 stroke patients with hemiplegic hand spasm from June 2018 to June 2020,and divided them into groups according to admission time.Control group (30 cases) was treated with targeted rehabilitation treatment,and study group (30 cases) with moxibustion combined with rehabilitation treatment.Clinical effect between two groups was compared and analyzed,that is,proportion of patients with grade 0 in improved Ashworth classification,improvement of limb function and living ability.Results According to modified Ashworth classification,proportion of grade 0 patients in study group was higher than control group after 2 weeks,4 weeks,1 month,3 months and 6 months of treatment;Fugl Meyer scale scores of study group were higher than control group at 2 weeks,4 weeks,1 month and 2 time stages after treatment;Barthel index scores at each stage in study group were higher;above difference were statistically significant,(P<0.05).Conclusion Moxibustion combined with rehabilitation therapy can improve spasm,improve clinical outcome,motor function of stroke patients with hemiplegic hand spasm,which has significant clinical value.
作者
黄周绪
HUANG Zhouxu(Yangjiang Jianghua Hospital,Yangjiang,Guangdong,529500)
出处
《智慧健康》
2022年第15期103-105,共3页
Smart Healthcare
关键词
艾灸
康复治疗
脑卒中偏瘫
手痉挛状态
有效性
Moxibustion
Rehabilitation treatment
Stroke hemiplegia
Hand spasm
Effectiveness
