浅谈推拿与现代康复结合治疗中风后痉挛状态的必要性

Discuss on the Necessity of Combination of Massage and Modern Rehabilitation in Treatment of Spasticity after Stroke

随着医疗技术的不断提高，脑卒中患者的死亡率已显著降低，然而其致残率在存活者中高达80%以上，而中风后痉挛是致残的主要病因。通过查阅和总结近年来推拿和现代康复训练对中风后痉挛状态的认识、治疗机制、治疗手法和临床效果的相关文献，发现推拿与运动疗法在原理和操作上有着相近或相同之处，并且治疗手法各具特色，二者结合不仅可以优势互补，而且治疗效果比二者单一使用更为显著。本文就推拿和现代康复各自对痉挛的认识、治疗效果及二者结合的必要性进行综述。

With the continuous improvement of medical technology, the mortality of patients with stroke has been significantly reduced. However, the disability rate of survivors is still up to 80%, while the spasticity after stroke is the main cause of disability. By consulting and summarizing perti-nent literature about the cognition, therapeutic mechanism, therapeutic manipulation and efficiency of massage and modern rehabilitation training on spasticity after stroke in recent years, the author has found that massage and exercise therapy have something similar or identical in principle and op-eration, which have different characteristics in each manipulation, the combination of the two kinds of therapies not only has complementary advan-tages, but also to make the efficiency of treatment more significant than that just use one of them. This article would summarize the cognition and ef-ficiency of massage and modern rehabilitation on spasticity, and the necessity of combination of them.