中医推拿联合常规康复训练在卒中恢复期患者中的应用效果

Application effects of TCM massage combined with routine rehabilitation training in patients with stroke in recovery period

目的:观察中医推拿联合常规康复训练在卒中恢复期患者中的应用效果。方法:选取2021年1月至2023年7月该院收治的60例卒中恢复期患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各30例。对照组采用常规康复训练,观察组在对照组基础上联合中医推拿。比较两组干预前后肢体痉挛状态(Ashworth痉挛评定量表)、下肢功能[简化Fugl-Meyer运动功能评分量表(FMA)、Berg平衡量表(BBS)、功能性步行量表(FAC)]评分和日常生活能力[日常生活活动能力量表(ADL)]评分。结果:干预后,两组Ashworth痉挛评定量表分级均优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05);两组FMA下肢评分及BBS、FAC评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组ADL评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:中医推拿联合常规康复训练可有效缓解卒中恢复期患者肢体痉挛状态,提高下肢运动功能和日常生活能力评分,其效果优于单纯常规康复训练。

Objective:To observe application effects of TCM massage combined with routine rehabilitation training in patients with stroke in recovery period.Methods:A prospective study was conducted on 60 patients with stroke in recovery period who were admitted to the hospital from January 2021 to July 2023.According to the random number table method,they were divided into control group and observation group,30 cases in each group.The control group was treated with routine rehabilitation training,while the observation group was treated with TCM massage on the basis of that of the control group.The scores of limb spasticity(Ashworth spasm rating scale),the lower limb function [simplified Fugl-Meyer assessment(FMA),Berg balance scale(BBS),functional walking scale(FAC)] and the daily living ability [activities of daily living scale(ADL)] were compared between the two groups before and after the intervention.Results:After the intervention,the scores of Ashworth spasm rating scale in the two groups were better than those before the intervention,that in the observation group was better than that in the control group,and the differences were statistically significant(P<0.05).The scores of FMA,BBS and FAC of lower limbs in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the ADL scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:TCM massage combined with routine rehabilitation training can effectively alleviate the limb spasm in the patients with stroke in the recovery period,and improve the lower limb function and the daily living ability scores.Moreover,it is superior to single routine rehabilitation training.