水疗联合替扎尼定用于脑卒中患者上肢痉挛的疗效观察

Effect of Hydrotherapy Combined with Tizanidine Efficacy for Stroke Patients with Upper Extremity Spasticity

目的:观察水疗联合替扎尼定对脑卒中患者上肢痉挛的改善作用。方法:将26例脑卒中恢复期患者随机分为治疗组和对照组,两组均给予康复训练、常规治疗、口服替扎尼定,治疗组除上诉治疗外,联合温水疗法。治疗前与治疗1月后根据改良Ashworth痉挛评定量表(MAS)、简式Fugl-Meyer运动量表(FMA)和改良Barthel指数评定法(MBI)对两组患者进行评定。结果:治疗后两组患者上肢肌张力较治疗前均有明显降低(P<0.05),日常生活活动能力、上肢运动功能较治疗前均有提高(P<0.05),观察组疗效明显优于对照组(P<0.05)。结论:康复训练结合替扎尼定对脑卒中后出现的上肢痉挛可起到显著改善作用;结合水疗后,上肢痉挛的改善、运动功能及生活生活活动能力的提高更加显著。

Objective： To observe the effect of hydrotherapy combined with Tizanidine on stroke patients with upper extremity spasticity. Methods： 26 patients with stroke recovery period were randomly divided into the treatment group and control group, two groups were given rehabilitation training, conventional treatment,oral tizanidine set, the treatment group in addition to the appeal treatment, combined with warm water therapy. Before treatment and after treatment, the patients were assessed by the modified Ashworth spasm Rating Scale（MAS）, Fugl-Meyer（FMA） and modified Barthel index（MBI） in January. Results： After treatment, the upper limb muscle tension in the two groups were significantly lower than before treatment（P〈0.05）, daily living activity and the upper limb motor function were significantly improved（P〈0.05）, the observation group was significantly better than the control group（P〈0.05）. Conclusion： Combined with rehabilitation training of tizanidine on upper limb spasm after stroke can play to significantly improve; combination of spa, improvement in upper limb spasticity, motor function and daily life ability is more significant.