督脉灸治疗脑卒中后上肢痉挛临床观察

Clinical Observation of Governor Meridian Moxibustion in the Treatment of Upper Limb Spasticity after Stroke

目的:观察督脉灸治疗脑卒中后上肢痉挛的临床疗效。方法:按随机数字表法将符合标准的60例脑卒中后上肢痉挛的患者随机分为常规组、督脉灸组,每组各30例。常规组采用常规干预(常规治疗+常规护理+康复锻炼),督脉灸组采用督脉灸+常规干预,隔日治疗1次,6d为一疗程,疗程间隔1d,共治疗6个疗程。观察治疗前后改良Ashworth量表(MAS)、Fugl-Meyer评分(FMA)、改良Barthel指数(MBI)变化情况并比较2组临床疗效差异。结果:治疗后2组MAS评级较治疗前均降低,且督脉灸组低于常规组,差异有统计学意义(P<0.05);FMA、MBI评分较治疗前均升高,且督脉灸组高于常规组,差异有统计学意义(P<0.05)。治疗后临床疗效对比,督脉灸组总有效率80.0%(24/30)优于常规组72.4%(21/29),差异有统计学意义(P<0.05)。结论:督脉灸组治疗脑卒中后上肢痉挛明显优于常规组,可更好地降低上肢痉挛程度,提高患者上肢运动功能和日常生活能力,临床疗效显著。

Objective:To observe the clinical efficacy of Du Meridian moxibustion in treating upper limb spasticity after stroke.Methods:According to the random number table method,60 patients with upper limb spasticity after stroke who met the criteria were randomly divided into a routine group and a Du Meridian moxibustion group,with 30 cases in each group.The routine group received conventional intervention(conventional treatment+routine nursing+rehabilitation exercise),and the Du Meridian moxibustion group received Du Meridian moxibustion+conventional intervention,with treatment once every other day,6 days as a course of treatment,and an interval of 1 day between courses,for a total of 6 courses of treatment.The changes of modified Ashworth scale(MAS),Fugl-Meyer score(FMA)and modified Barthel index(MBI)were observed before and after treatment,and the differences in clinical efficacy were compared between the two groups.Results:After treatment,the MAS scores of the two groups were lower than those before treatment,and the moxibustion on the Du Meridian group was lower than that of the routine group,the difference was statistically significant(P<0.05);the FMA and MBI scores were higher than those before treatment,and the moxibustion on the Du Meridian group was significantly lower than that of the routine group(P<0.05).The difference was statistically significant(P<0.05).Compared with the clinical curative effect after treatment,the total effective rate of moxibustion on the governor vessel was 80.0%(24/30),which was better than that of the routine group,72.4%(21/29),and the difference was statistically significant(P<0.05).Conclusion:The moxibustion group on the governor vessel is significantly better than the conventional group in treating upper limb spasticity after stroke.It can better reduce the degree of upper limb spasticity,improve the upper limb motor function and daily life ability of patients,and has a significant clinical effect.