疏经通督推拿结合中药熏洗对中风偏瘫患者肢体肿胀的疗效

Effect of Shujing Tongdu Massage Combined with Traditional Chinese Medicine Fumigation and Washing on Limb Swelling in Patients with Stroke Hemiplegia

目的:分析疏经通督推拿结合中药熏洗对中风偏瘫患者肢体肿胀的疗效。方法:选取2021年7月—2023年7月南宁市第二人民医院中医科收治的80例中风偏瘫肢体肿胀患者,按病案号随机分为观察组和对照组,各40例。对照组给予中药熏洗治疗,观察组在对照组的基础上联合疏经通督推拿治疗,观察两组治疗前后手足肿胀程度、足背血流动力学、偏瘫手精细动作运动协调能力与感觉功能、手足功能、临床疗效、患肢运动功能、日常生活能力。结果:干预后,两组手肿胀程度、足肿胀程度均低于干预前,血管内径、血流量和峰值流速均高于干预前,且观察组手肿胀程度、足肿胀程度均低于对照组,血管内径、血流量和峰值流速均高于对照组,差异有统计学意义(P<0.05)。干预后,两组运动协调能力评分、感觉功能评分、Broetz手功能评分、Maryland足功能评分、患肢运动功能评分、改良Barthel指数(MBI)评分均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。观察组总优良率高于对照组,差异有统计学意义(P<0.05)。结论:疏经通督推拿结合中药熏洗治疗能够减轻中风偏瘫患者手足肿胀程度,改善患者足背血流动力学,调节偏瘫手精细动作运动协调能力、感觉功能与手足功能,改善患肢运动功能,提升患者日常生活能力。

Objective:To analyze the effect of Shujing Tongdu massage combined with traditional Chinese medicine fumigation and washing on limb swelling in patients with stroke hemiplegia.Method:A total of 80 patients with stroke hemiplegic limb swelling admitted to the Department of Traditional Chinese Medicine of Nanning Second People's Hospital from July 2021 to July 2023,they were randomly divided into the observation group and the control group according to the medical record number,with 40 cases in each group.The control group was given traditional Chinese medicine fumigation and washing treatment,and the observation group was combined with Shujing Tongdu massage treatment on the basis of the control group.The swelling degree of hands and feet,the foot dorsum hemodynamics,the fine motor coordination ability and sensory function of the hemiplegic hand,the function of hands and feet,the clinical effect,the motor function of the affected limb,and the ability of daily living of the two groups before and after treatment were observed.Result:After intervention,the degree of hand swelling and foot swelling in both groups were lower than those before intervention,and the vascular inner diameter,blood flow and peak velocity were higher than those before intervention,and the degree of hand swelling and foot swelling in the observation group were lower than those in the control group,and the vascular inner diameter,blood flow and peak velocity were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,motor coordination ability score,sensory function score,Broetz hand function score,Maryland foot function score,motor function score of affected limb and modified Barthel index(MBI)score of both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total excellent and good rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Shujing Tongdu massage combined with traditional Chinese medicine fumigation and washing can reduce the degree of hand and foot swelling in patients with stroke hemiplegia,improve foot dorsum hemodynamics,adjust the fine motor coordination ability,sensory function and hand and foot function of the hemiplegic hand,improve motor function of the affected limb,and enhance the daily life ability of patients.