壮瑶药泥疗治疗中风后偏瘫上肢痉挛临床观察:基于阳化气理论

Clinical Observation of Treating Hemiplegic Upper Limb Spasm After Apoplexy with Zhuang and Yao Medicine Mud Therapy Based on Yang-Hua-Qi Theory

目的:观察基于阳化气理论运用壮瑶药泥疗治疗中风后偏瘫上肢痉挛的临床疗效及其安全性。方法:选择符合中风后偏瘫上肢痉挛诊断的患者122例,按入院时间采用随机对照试验设计法分为两组。其中治疗组62例、对照组60例,两组基础治疗相同,治疗组加用壮瑶药泥疗外治法,两组治疗时间均为3周。两组治疗前后采用改良Ashworth量表、临床痉挛指数及日常生活活动功能量表(ADL)等评估患者临床疗效。采用t检验比较两组间或组内治疗前后改良Ashworth量表、临床痉挛指数及日常生活活动功能量表(ADL)的差异。结果:两组治疗前后对比:(1)肌张力变化情况:两组患者治疗2周后与治疗前相比,治疗组改良Ashworth指数评分及临床痉挛指数评分明显低于对照组,差异有统计学意义(P<0.05),肌张力明显改善;(2)生活能力改善情况:两组患者治疗2周后与治疗前相比,治疗组ADL评分明显高于对照组,差异有统计学意义(P<0.05),生活能力明显改善。结论:基于阳化气理论运用壮瑶药泥疗治疗中风后偏瘫上肢痉挛,能有效改善患者肌张力及日常生活能力,提高生活质量,且无明显不良反应。

Objective:To observe the clinical efficacy and safety of treating hemiplegic upper extremity spasm after stroke with Zhuang and Yao medicine mud therapy based on Yanghua-Qi theory.Methods:From April 2020 to May 2021,122 patients who were hospitalized in the second District of Encephalopathy Department of Yulin Hospital of Traditional Chinese Medicine and met the diagnosis of upper limb spasm after stroke were selected.According to the admission time,they were divided into two groups by randomized controlled trial design:treatment group(n=62)and control group(n=60).The basic treatment of the two groups was the same,and the treatment group was treated with external treatment of Zhuang and Yao medicine mud.The treatment time of the two groups was 3 weeks.Before and after treatment,modified Ashworth scale,clinical spasticity index and activities of daily living scale(ADL)were used to evaluate the clinical efficacy of patients in the two groups.T test was used to compare the differences of modified Ashworth scale,clinical spasticity index and activities of daily living scale(ADL)between the two groups before and after treatment.Results:The comparison between the two groups before and after treatment:The changes of muscle tension:after 2 weeks of treatment,the modified Ashworth index score and clinical spasm index score of the treatment group were significantly lower than those of the control group,and the muscle tension was significantly improved,P<0.05,and the difference was statistically significant.Living ability:After 2 weeks of treatment,compared with before treatment,the ADL score of the treatment group was significantly higher than that of the control group,and the living ability was improved(P<0.05),and the difference was statistically significant.Conclusion:Based on Yanghua-Qi theory,the application of Zhuang and Yao medicine mud therapy in the treatment of hemiplegic upper limb spasm after stroke can effectively improve the muscle tension and daily living ability of patients,improve the life treatment,and the adverse reaction rate is 0%,no obvious adverse reactions.