克痉方湿热敷治疗脑卒中痉挛性偏瘫的疗效观察

Clinical effect of hot-wet compress with Kejing prescription in treatment of spastic hemiplegia after stroke

目的观察克痉方湿热敷治疗脑卒中痉挛性偏瘫的临床疗效。方法将80例脑卒中痉挛性偏瘫患者随机分为治疗组和对照组各40例,治疗组在常规治疗的基础上采用克痉方湿热敷治疗,对照组单纯采用神经内科常规治疗,治疗30d采用Ashmorth痉挛量表(MAS)评定肢体痉挛状态和改良的Barthel指数评定肢体运动功能水平、日常生活能力。结果治疗30d后两组Ashmorth痉挛量表评分比较有显著差异,治疗组与对照组相比差异均有统计学意义,治疗30d后治疗组Ashmorth痉挛量表评分、Barthel指数评分均明显高于对照组。结论克痉方湿热敷可有效缓解脑卒中偏瘫的痉挛状态。

Objective To investigate the clinical effect of hot-wet compress with Kejing prescription in the treatment of spastic hemiplegia after stroke. Methods A total of 80 patients with spastic hemiplegia after stroke were randomly divided into treatment group and control group, with 40 patients in each group. The patients in the treatment group were given hot-wet compress with Kejing prescription in addition to conventional treatment, and those in the control group were given conventional neurological treatment. After 30 days of treatment, the Modified Ashworth Scale（MAS） was used to evaluate spasticity in the extremities, and the modified Barthel Index（BI） was used to assess the motor function of the extremities and activities of daily living. Results After 30 days of treatment, there was a significant difference in MAS score between the two groups, and the treatment group had significantly higher MAS and BI scores than the control group. Conclusion Hot-wet compress with Kejing prescription can effectively alleviate spastic hemiplegia after stroke.