穴位按摩敷贴护理联合抗痉挛手法对中风后偏瘫痉挛肢体状态的影响

Effect of Acupoint Massage and Application Combined with Antispasmodic Manipulation on Post-strokespasticity for Apoplectic Hemiplegia

目的:观察穴位按摩敷贴联合抗痉挛手法对中风后偏瘫痉挛状态的影响。方法:按随机数字表法将96例中风后痉挛性瘫痪患者分为观察组和对照组,每组48例。对照组患者采用抗痉挛手法进行治疗,观察组在对照组基础上采用穴位按摩及敷贴方式进行治疗,于治疗前后对患者中医症候进行积分,评定患者肌痉挛程度、肢体运动功能(Fugl-Meyer评分)及日常生活能力(Barthel指数)。结果:观察组总有效率为93.75%,对照组有效率为79.17%,两组比较差异显著(P<0.05);两组患者治疗后中医症状积分显著降低(P<0.05),Barthel指数及Fugl-Meyer评分显著升高(P<0.05),观察组升高或降低的幅度显著大于对照组(P<0.05);治疗后观察组患者肌张力评级显著优于对照组,差异具统计学差异(P<0.05)。结论:穴位按摩敷贴联合抗痉挛手法可有效改善中风后痉挛性偏瘫患者的中医症候、肌张力及运动功能,提高患者日常生活能力,较单一抗痉挛手法治疗效果更好。

Objective: To explore the effect of acupoint massage and application combined with antispasmodic manipulation on post-strokespasticity for apoplectic hemiplegia.Methods: 96 patients with post-strokespastic paralysiswere divided into observation group and controlled group by the random number table method,48 cases in each group.The controlled group was treated with antispasmodic manipulation,on the basis,the observation group was treated with acupoint massage and application.The degree of myospasm,limb motor function(Fugl-Meyer score) and activities of daily living(Barthel index) were evaluated.Results: There was a significant difference in the total effective rate between the observation group and the controlled group(93.75% vs 79.17%)(P < 0.05).The TCM symptom scores of the two groups decreased significantly,while Barthel index and Fugl-Meyer scores increased significantly after treatment(P < 0.05).The amplitude of increase or decrease in the observation group was significantly larger than that in the controlled group(P < 0.05).After treatment,the grade of muscle tension in the observation group was significantly better than that in the controlled group(P < 0.05).Conclusion: Acupoint massage and application combined with antispasmodic manipulation can effectively improve TCM symptoms,muscle tension and motor function in patients with post-stroke spastic hemiplegia,and improve their activities of daily living.The effect is better than simple antispasmodic therapy.