中医推拿联合中药封包对中风后痉挛性偏瘫患者肢体功能和日常生活能力的影响研究

Study on the effect of traditional Chinese massage combined with traditional Chinese medicine package on limb function and daily living ability in patients with spastic hemiplegia after stroke

目的探讨中医推拿联合中药封包治疗对中风后痉挛性偏瘫患者肢体功能和日常生活能力的影响。方法选取2020年9月至2023年9月该院收治的中风后痉挛性偏瘫患者112例,采用随机数字表法将其均分为常规组(常规西医治疗)和联合组(常规西医治疗+中医推拿+中药封包),比较2组患者临床疗效、肌肉张力(改良Ashworth分级标准)、运动功能(Fugl-Meyer运动功能评定量表)、平衡能力(Berg平衡评定量表)、日常生活能力(Barthel指数)变化情况。结果联合组患者临床疗效(91.07%)高于常规组(73.21%),差异有统计学意义(P<0.05);联合组患者治疗后改良Ashworth分级情况优于常规组,治疗后Fugl-Meyer运动功能、Berg平衡评定量表评分及Barthel指数评分均高于常规组,差异均有统计学意义(P<0.05)。结论中风后痉挛性偏瘫患者应用中医推拿联合中药封包治疗可显著提高疗效,恢复肢体运动功能及平衡能力,缓解肌肉张力,改善日常生活能力。

Objective To investigate the effect of traditional Chinese massage combined with traditional Chinese medicine package therapy on limb function and daily living ability in patients with spastic hemiplegia after stroke.Methods A total of 112 patients with spastic hemiplegia after stroke admitted to the hospital from September 2020 to September 2023 were selected,and they were randomly divided into the conventional group(conventional western medicine treatment)and the combined group(conventional western medicine treatment+traditional Chinese massage+package)by the random number table method.The clinical efficacy,muscle tension(improved Ashworth grade standard),motor function(Fugl-Meyer motor function assessment scale),balance ability(Berg balance scale),daily living ability(Barthel index)changes of the two groups were compared.Results The efficacy of the combined group(91.07%)was higher than that of the conventional group(73.21%),and the difference was statistically significant(P<0.05).After treatment,the modified Ashworth-grade of patients in the combined group was better than the conventional group,and the Fugl-Meyer motor function,Berg balance rating scale scores and Barthel index scores after treatment were higher than those in the conventional group points,the differences were statistical significance(P<0.05).Conclusion The application of traditional Chinese massage combined with traditional Chinese medicine package therapy in patients with spastic hemiplegia after stroke can significantly improve the curative effect,restore limb motor function and balance ability,relieve muscle tension,and improve daily living ability.