中医推拿手法结合理疗治疗脑卒中偏瘫痉挛疗效观察

Effect of chinese naprapathy combinod with physiothevapyin the treatment of cerebral applexy hemiplegia spasm

目的:探讨中医推拿手法结合理疗治疗脑卒中偏瘫痉挛的疗效。方法:60例脑卒中偏瘫痉挛患者,随机分为观察组与对照组,各30例。其中对照组患者在西医常规治疗基础上联合脑循环系统治疗仪进行治疗;观察组惠者在对照组治疗的基础上运用中医推拿手法治疗,比较两组患者的治疗效果(改良Ashworth评价量表)和Fugl-Meyer(FMA)评分。结果:观察组患者的治疗总有效率为93.3%,对照组患者治疗总有效率为76.7%,组间比较差异具有统计学意义(P<0.05)。此外,观察组患者的FMA评分明显高于对照组(P<0.05)。结论:中医推拿手法结合理疗治疗脑卒中偏瘫痉挛疗效显著,可在临床上进行推广。

Objective To discuss the therapeutic effect of Chinese naprapathy combined with physiotherapy in treatment of cerebral apoplexy hemiplegia spasm. Methods 60 cases of patients with cerebral apoplexy hemiplegia spasm were randomly divided into observation group and control group, 30 cases in each group. Control group was treated with cerebral circulation system on the basis of conventional treatment of Western medicine. Observation group accepted Chinese naprapathy on the basis of control group. The treatment effect and Fugl - Meyer（FMA） score of the two groups were compared. Results The total effective rate of observation group was 93.3%, while control group was 76.7%, difference has statistical significance（P 〈0. 05 ）. In addition, the FMA score of observation group was significantly higher than control group （ P 〈 0. 05 ）. Conclusion Chinese naprapathy combined with physiotherapy in treatment of cerebral apoplexy hemiplegia spasm has remarkable therapeutic effect, it can be popularized in clinic.