通脉解痉汤联合推拿治疗脑卒中后肢体痉挛效果分析

Analysis of the effect of Tongmai Jiejing Decoction combined with massage on limb spasm after stroke

目的探究通脉解痉汤联合推拿治疗脑卒中后肢体痉挛效果.方法选择我院收治的92例脑卒中后肢体痉挛患者,随机分为两组.对照组采用常规治疗,观察组在此基础上给予通脉解痉汤联合推拿治疗.对比两组治疗效果、康复情况及肌电信号、血清学神经递质变化.结果观察组总有效率89.13%高于对照组的71.74%(P<0.05).观察组治疗后的改良Ashworth评分、FMMS评分、ADL评分均高于对照组(P<0.05).观察组治疗后的RMS、血清NSE低于对照组(P<0.05),且血清Gly高于对照组(P<0.05).结论对脑卒中后并发肢体痉挛者辅以通脉解痉汤联合推拿治疗能取得更为满意的治疗效果,可下调肌电信号,改善神经递质表达,从而有助于改善肢体痉挛症状,促进肢体运动功能恢复,改善生活质量.

Objective To explore the effect of Tongmai Jiejing Decoction combined with massage in treating limb spasm after stroke.Methods We selected 92 patients with post-stroke limb spasticity who received treatment in our hospital,and randomly divided them into two groups.The control group was treated with conventional western medicine,and the observation group was given Tongmai Jiejinglang combined with massage treatment on this basis.The treatment effect,rehabilitation status,EMG signal,and serum neurotransmitter changes between the two.groups were compared.Results The total effective rate of the observation group was 89.13%,which was higher than 71.74%of the control group(P<0.05).The modified Ashworth score,FMMS score and ADL score of the observation group after treatment were higher than those of the control group(P<0.05).The RMS and serum NSE of the observation group after treatment were lower than those of the control group(P<0.05),and the serum Gly was higher than the control group(P<0.05).Conc lus ion For patients with limb spasm after stroke,supplemented with Tongmai Jiejing Decoetion combined with massage therapy can achieve a more satisfactory therapeutic effect.It can lower myoelectric signal and improve neurotransmitter expression,thereby helping 0improve the symptoms of limb spasm and promote limbs.Exercise function is restored and quality of life is improved.