推拿联合运动疗法治疗中风后遗症的临床疗效观察

Observation on treating stroke sequelae by massage plus exercise therapy

目的:观察推拿联合运动疗法对中风偏瘫后遗症进行治疗的临床疗效。方法:将108例中风偏瘫后遗症患者随机分为对照组和观察组,对照组给予运动疗法,观察组给予推拿联合运动疗法进行治疗,两组均治疗30 d后评价疗效,认知功能用MMSE法评估,改良波士顿汉语失语症测试,采用Barthel指数、神经功能缺损评分(NIHSS)分析日常生活能力、神经功能。结果:观察组干预后患者临床神经功能缺损程度评分优于对照组(P <0.05);观察组的总有效率显著优于对照组(P <0.05)。观察组改良波士顿汉语失语症评分与对照组比较,差异有统计学意义(P <0.05);观察组干预后MMSE评分较干预前有明显下降(P <0.05),各个时间点均低于对照组(P <0.05);观察组干预后NIHSS评分低于对照组,Barthel指数高于对照组,差异具有统计学意义(P <0.05)。结论:推拿联合运动疗法可提高中风偏瘫后遗症的认知能力,利于患者的语言康复和神经功能的恢复,治疗安全有效。

Objective:To observe clinical efficacy of massage plus exercise therapy on hemiplegia after stroke.Methods:108 cases were divided into two groups.The control group was given exercise therapy;and the observation group was given massage more,for 30 days.Results:After treatment,the score of clinical neurological deficit in the observation group was better(P<0.05);the total efficiency in the observation group was significantly better(P<0.05).Compared with the control group,the improved Bost Chinese aphasia score in the observation group was statistically significant(P<0.05).After treatment,the MMSE score in the observation group was significantly lower than that before the intervention(P<0.05),and was lower than the control group at each time point(P<0.05).After treatment,the NIHSS score in the observation group was lower,and the Barthel index was higher(P<0.05).Conclusion:Massage plus exercise therapy can improve the cognitive ability of hemiplegia after stroke,is conducive to the recovery of language and the recovery of neurological function.The treatment is safe and effective.