温针灸联合推拿及康复疗法用于脑卒中后痉挛性偏瘫临床观察

Warming Needle Moxibustion Combined with Massage and Rehabilitation Therapy on Spastic Paralysis after Stroke

目的探讨温针灸联合推拿及康复疗法在脑卒中后痉挛性偏瘫(SPAS)患者中的应用效果。方法选择九江市第一人民医院2020年4月—2022年5月收治的92例SPAS患者,按随机数字表法分为两组,各46例。对照组实施康复疗法,观察组在对照组基础上加用温针灸与推拿治疗,均持续干预3个月。对比两组肢体痉挛状态[Ashworth痉挛评定量表(MAS)]、运动功能[Fugl-Meyer肢体功能评估量表(FMA)]、神经功能[神经功能缺损程度评分量表(CSS)]及日常生活活动能力[功能独立性评测(FIM)量表]。结果干预后,观察组MAS评分低于对照组,FMA评分高于对照组(P<0.05);CSS评分低于对照组,FIM评分高于对照组(P<0.05)。结论温针灸联合推拿及康复疗法能够改善SPAS患者的肢体痉挛状态、促进神经功能恢复、提升运动功能与日常生活活动能力。

Objective To investigate the effect of warming needle moxibustion combined with massage and rehabilitation therapy in patients with spastic paralysis after stroke(SPAS).Methods The 92 patients with SPAS in Jiujiang First People's Hospital from April 2020 to May 2022 were selected and divided into two groups according to the random number table,with 46 cases in each group.The control group received rehabilitation therapy,and the observation group received warming needle moxibustion combined with massage and rehabilitation therapy on this basis.Both groups continued to intervene for 3 months.The two groups were compared in terms of limb spasticity[Modified Ashworth Scale(MAS)],motor function[Fugl-Meyer Assessment(FMA)of limb function(FMA)],neurological function[China Stroke Scale(CSS)]and activities of daily living[Functional Independence Measure(FIM)scale].Results After intervention,the MAS score in the observation group was lower than that in the control group,while the FMA score was higher than that in the control group(P<0.05).After intervention,the CSS score in the observation group was lower than that in the control group,while the FIM score was higher than that in the control group(P<0.05).Conclusion Warming needle moxibustion combined with massage and rehabilitation therapy can improve the spasticity of limbs of patients with SPAS,promote the recovery of neural function,and enhance motor function and activities of daily living.