筋骨三针疗法联合Bobath疗法治疗中风后上肢痉挛性瘫痪的疗效分析

Efficacy Analysis of Tendon-Bone Three-Needle Therapy Combined with Bobath Therapy in Treating Post-Stroke Spastic Paralysis of Upper Limb

目的:探讨筋骨三针疗法联合Bobath疗法治疗中风后上肢痉挛性瘫痪的疗效分析。方法:采用随机对照表法将本院收治的中风后上肢痉挛性瘫痪患者116例分为对照组(58例,Bobath疗法)和治疗组(58例,筋骨三针疗法联合Bobath疗法),对比治疗后临床疗效、FMA评分、MBI评分、CSI评分、MAS分级及血清TGF-β1和NSE水平变化。结果:治疗后,对照组29例显效,19例好转,10例无效,总有效率为82.76%(48/58);治疗组32例显效,23例好转,3例无效,总有效率为94.83%(55/58);治疗组总有效率显著较高,差异具有统计学意义(P<0.05)。治疗前两组FMA评分、MBI评分和CSI评分差异无统计学意义(P>0.05);治疗后两组FMA评分和MBI评分明显升高,CSI评分明显降低,差异具有统计学意义(P<0.05);且治疗组FMA评分、MBI评分和CSI评分明显优于对照组,差异具有统计学意义(P<0.05)。治疗前两组MAS分级差异无统计学意义(P>0.05);治疗后两组MAS分级明显改善,差异具有统计学意义(P<0.05);且治疗组MAS分级明显优于对照组,差异具有统计学意义(P<0.05)。治疗前两组血清TGF-β1和NSE水平差异无统计学意义(P>0.05);治疗后两组血清TGF-β1和NSE水平明显改善,差异具有统计学意义(P<0.05);且治疗组血清TGF-β1和NSE水平明显优于对照组,差异具有统计学意义(P<0.05)。结论:采用筋骨三针疗法联合Bobath疗法治疗中风后上肢痉挛性瘫痪具有较好的临床疗效,可改善患者上肢功能。

Objective:To investigate the effect of tendon-bone three-needle therapy combined with Bobath therapy on post-stroke spastic paralysis of upper limb.Methods:116 patients with post-stroke spastic paralysis of upper limb were randomly divided into the control group(n=58)and the treatment group(n=58).The control group was treated with Bobath therapy;on which basis,the treatment group was also treated with tendon-bone three-needle therapy.The scores of FMA,MBI,CSI and MAS,as well as the serum levels of TGF-β1 and NSE were compared between before and after the treatment in the two groups.Clinical efficacy was compared between the two groups.Results:There were 29 marked effective cases,19 improved cases and 10 invalid cases in the control group,compared to 32 marked effective cases,23 improved cases and 3 invalid cases in the treatment group;the total effective rate was 94.83%(55/58)in the treatment group,which was significantly higher than 82.76%(48/58)in the control group(P<0.05).There were no statistical differences in the scores of FMA,MBI and CSI between the two groups before the treatment(P>0.05).The scores of FMA and MBI were significantly increased,whereas CSI score was significantly decreased after the treatment in the two groups(P<0.05);of which the improvements in the treatment group were more significant(P<0.05).There was no statistical difference in MAS between the two groups before the treatment(P>0.05);which was significantly improved after the treatment in the two groups(P<0.05),and the improvement was more significant in the treatment group(P<0.05).There were no statistical differences in the serum levels of TGF-β1 and NSE between the two groups before the treatment(P>0.05);which were significantly improved after the treatment in the two groups(P<0.05),and the improvements in the treatment group were more significant(P<0.05).Conclusion:Tendon-bone three-needle combined with Bobath therapy has a good clinical effect in the treatment of post-stroke spastic paralysis of upper limb and it can improve the function of upper limb.