艾盐包热熨手三阳经对脑卒中偏瘫患者上肢运动功能的影响

Effect of hot medicated compress with moxa-salt on three yang meridians of hand on upper limb motor function of stroke patients with hemiplegia

目的观察艾盐包热熨手三阳经对脑卒中偏瘫患者上肢运动功能、上肢关节活动度和偏瘫手功能分级的影响。方法选取2021年3—9月收住福建中医药大学附属康复医院神经康复科的脑卒中后偏瘫患者86例,随机分为试验组和对照组,每组各43例。对照组进行常规内科治疗、护理与康复训练,试验组在对照组的基础上进行艾盐包手三阳经热熨,1次/d,30 min/次,5次/周,连续干预4周。于干预前、干预2周后及干预4周后评估患者上肢运动功能、上肢关节活动度、偏瘫手功能分级。结果最终81例完成试验,试验组40例,对照组41例。结果显示,干预2周后试验组的上肢运动功能与对照组比较,差异无统计学意义(P>0.05);干预4周后试验组的上肢运动功能优于对照组(P<0.05)。上肢关节活动度方面,干预2周后试验组肩前屈、肩后伸、肩外展、肩内旋和肘屈的活动度均优于对照组(P<0.05),干预4周后试验组肩前屈、肩后伸、肩外展、肩内旋、肩外旋、肘屈、腕掌屈和腕背伸的关节活动度均优于对照组(P<0.05);干预2周、干预4周后,2组偏瘫手功能分级比较,差异无统计学意义(P>0.05)。结论艾盐包热熨手三阳经能有效改善脑卒中患者上肢运动功能和上肢关节活动度,但在改善其偏瘫手功能方面的疗效不显著。

Objective To observe the effects of hot medicated compress with moxa-salt on the three yang meridians of hand on motor function of the upper limb,upper limb joint range of motion,and hemiplegic hand function in stroke patients with hemiplegia.Methods From March to September 2021,86 hemiplegia patients after stroke were selected from the Department of Neurological Rehabilitation in Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine.The patients included were randomly divided into experimental group and control group with 43 cases in each group.The control group received routine medical treatment,nursing and rehabilitation training,and the experimental group received hot medicated compress on the three yang meridians of hand with moxa-salt additionally for once a day,30 minutes each time,and 5 times per week for 4 weeks.Motor function of the upper limb,upper limb joint range of motion,and hemiplegic hand function were evaluated before intervention,2 and 4 weeks after intervention.Results Eighty-one cases completed the trial,with 40 cases in the experimental group,and 41 cases in the control group.There was no statistical difference in upper limb motor function between the two groups after 2 weeks of intervention(P>0.05),and the upper limb motor function of the experimental group was better than that of the control group after 4 weeks of intervention(P<0.05).In terms of the range of motion of the upper limb,after 2 weeks of intervention,the range of motion in shoulder flexion,shoulder extension,shoulder abduction,shoulder pronation and elbow flexion of the experimental group were better than that of the control group(P<0.05),and after 4 weeks of intervention,the range of motion of shoulder flexion,shoulder extension,shoulder abduction,internal rotation,external rotation,elbow flexion,carpal flexion and carpal dorsi extension in the experimental group were better than that in the control group(P<0.05).There was no significant difference in hemiplegic hand function between the two groups after intervention for 2 and 4 weeks(P>0.05).Conclusion Hot medicated compress on the three yang meridians of hand with moxa-salt can effectively improve the motor function of the upper limb and upper limb joint range of motion in stroke patients,however,it has no significant effect on improving hemiplegic hand function.