中医推拿联合康复训练治疗缺血性卒中后痉挛性偏瘫患者的效果

Effects of traditional Chinese medicine massage combined with rehabilitation training on patients with spastic hemiplegia after ischemic stroke

目的:观察中医推拿联合康复训练治疗缺血性卒中后痉挛性偏瘫患者的效果。方法:选取2021年1月至2024年1月该院收治的80例缺血性卒中后痉挛性偏瘫患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各40例。对照组接受常规康复训练,观察组在对照组基础上实施中医推拿治疗。比较两组干预前后肢体痉挛程度[改良Ashworth量表(MAS)]及肌力[徒手肌力评定量表(MMT)]、四肢运动功能[Fugl-Meyer运动功能评定量表(FMA)]及日常生活自理能力[改良Barthel指数(MBI)]评分。结果:干预4周后,观察组肢体痉挛程度低于对照组,肱二头肌、股四头肌MMT评分,上、下肢FMA评分及MBI评分均高于对照组,差异有统计学意义(P<0.05)。结论:中医推拿治疗缺血性卒中后痉挛性偏瘫患者效果确切,可减轻其肢体痉挛程度,提高肌力,并进一步提升其肢体运动功能和日常生活自理能力,效果优于单用常规康复训练。

Objective:To observe effects of traditional Chinese medicine(TCM)massage combined with rehabilitation training on patients with spastic hemiplegia after ischemic stroke.Methods:A prospective study was conducted on 80 patients with ischemic stroke hemiplegia admitted to the hospital from January 2021 to January 2024.According to the random number table method,they were divided into observation group and control group,40 cases in each group.The control group received routine rehabilitation training,while the observation group received the TCM massage therapy on the basis of that of the control group.The limb spasm degree[modified Ashworth scale(MAS)],and the scores of muscle strength[manual muscle testing(MMT)],limb motor function[Fugl-Meyer motor function rating scale(FMA)]and daily life self-care ability[modified Barthel index(MBI)]were compared between the two groups before and after the intervention.Results:After 4 weeks of intervention,the degree of limb spasm in the observation group was lower than that in the control group,the MMT scores of biceps brachii and quadriceps femoris,the FMA scores of upper and lower limbs and the MBI scores were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:TCM massage is effective in the treatment of spastic hemiplegia after ischemic stroke.It can reduce the degree of limb spasm,improve the muscle strength,and further improve the limb motor function and daily living self-care ability.Moreover,it is superior to simple routine rehabilitation training.