放松功联合Bobath疗法治疗脑梗死偏瘫痉挛状态45例临床观察

Clinical Evaluation on 45 Cases of Relaxation Qigong Combined with Bobath Therapy for Hemiplegic Spasticity after Cerebral Infarction

目的:观察放松功联合Bobath疗法治疗脑梗死偏瘫痉挛状态的临床疗效。方法:将90例脑梗死偏瘫痉挛状态的患者随机分为观察组和对照组各45例,观察组采用放松功联合Botath疗法为主的康复治疗,对照组采用给予Botath疗法为主的康复治疗,治疗前后采用改良Ashworth痉挛量表(MAS)、神经功能缺损评分(NIHSS)、Fugl-Meyer运动功能量表(FMA)、日常生活能力评定(BI)评分比较,并评价临床疗效。结果:治疗后,两组患者的NIHSS、BI、FMA评分均较治疗前显著改善(P<0.05),且观察组治疗后的NIHSS、BI、FMA评分显著优于对照组(P<0.05);观察组偏瘫肢体肌张力改善显著高于对照组(P<0.05);观察组临床总有效率显著高于对照组(P<0.05)。结论:放松功联合Botath疗法能够改善偏瘫患者的高肌张力状态、神经功能缺损程度、运动功能以及日常生活活动能力,加强和促进了脑梗死偏瘫患者的康复疗效。

Objective; To evaluate the therapeutic effect of relaxation Qigong combined with bobath therapy for hemiplegic spasticity after cerebral infarction. Methods; 90 eases of hemiplegic spasticity after cerebral infarction were randomly divided into observation group（45 cases） and control group（45 cases）.In the observation group, each case was treated with relaxation Qigong combined with rehabilitation therapy based mainly on bobath therapy, while cases in the control group were treated with rehabilitation therapy based mainly on bobath therapy. The differences of effect were observed by the scores of the Modified Ashworth scale（MAS）, National institute of health stroke seale（NIHSS）,Fugl-Meyer assessment scale（FMA）, and Activity of Daily living Scale（BI） before and after the 4 weeks of treatment. Results; After the treatment, the scores of MAS,NIHSS,FMA and BI in both two groups showed statistical differences than before the treatment respectively （p〈0.05）; but the improvement of the observation group on the scores mentioned above were all better than the control group（p〈0.05）.The observation group had a better therapeutic benefits than the control group（p〈0.05）. Conclusion; The treatment of relaxation Qigong combined with bobath therapy for hemiplegic spasticity after cerebral infarction could improve muscle tension, neurological deficit, motor function and activities of daily living, then enhance and promote the rehabilitation efficacy.