电子灸联合康复训练治疗脑卒中恢复期上肢痉挛性偏瘫临床研究

Clinical Study of Electronic Moxibustion Combined with Rehabilitation Training in the Treatment of Upper Limb Spastic Hemiplegia in the Convalescent Stage of Stroke

目的:探讨电子灸联合康复训练治疗脑卒中恢复期上肢痉挛性偏瘫的疗效及安全性。方法:将符合标准的80例患者随机分为治疗组和对照组,每组各40例。对照组患者给予常规康复训练,治疗组患者在对照组基础上给予电子灸治疗,共治疗4周。比较2组患者治疗前后的肌张力(MAS)分级评定、简化Fugl-Meyer上肢运动量表(FMA-U)评分、改良Barthel指数(MBI)评分、Back抑郁量表(BDI)评分及健康调查简表(SF-36)评分。结果:治疗后,治疗组MAS分级及BDI评分均低于对照组,治疗组FMA-U评分、MBI评分及SF-36评分均高于对照组,差异均具有统计学意义(P<0.05);2组患者的不良反应发生率比较差异无统计学意义(P>0.05)。结论:电子灸联合康复训练能有效缓解脑卒中恢复期偏瘫患者上肢异常增高的肌张力,提高患肢运动功能,改善日常生活能力、抑郁情绪及生活质量,安全性良好,值得临床应用推广。

Objective:To explore the efficacy and safety of electronic moxibustion combined with rehabilitation training in the treatment of upper extremity spastic hemiplegia during stroke recovery period.Methods:Eighty patients who met the criteria were randomly divided into a treatment group and a control group,with 40 cases in each group.The patients in the control group were given routine rehabilitation training,and the patients in the treatment group were given electronic moxibustion on the basis of the control group for a total of 4 weeks.Comparison of muscle tone (MAS)classification,simplified Fugl-Meyer upper extremity exercise scale (FMA-U)score,modified Barthel index (MBI)score,Back Depression Inventory (BDI)score and short form of health survey before and after treatment in the two groups of patients (SF-36)score.Results:After treatment,the MAS grade and BDI score of the treatment group were lower than those of the control group,and the FMA-U score,MBI score and SF-36 score of the treatment group were higher than those of the control group,and the differences were statistically significant (P<0.05);There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion:Electronic moxibustion combined with rehabilitation training can effectively relieve the abnormally increased muscle tone of the upper limbs of hemiplegic patients during convalescence of stroke,improve the motor function of the affected limb,and improve the ability of daily living,depression and quality of life.It is safe and worthy of clinical application and promotion.