中风运动障碍的标本结合推拿治疗观察

目的:观察头部加四肢标本结合推拿对中风肢体运动障碍的疗效。方法:随机对照选择110例患者纳入观察,对照组55例(男性32例,女性23例),推拿组55例(男性34例,女性21例),对照组以基础治疗为主,配合四肢功能训练,每周5次,2周为1个疗程,连续3个疗程;推拿组在对照组处理基础上,施以标本结合推拿手法治疗,每次25~30min,隔日治疗1次,7次为1个疗程,连续3个疗程。结果:治疗后两组上、下肢肌力差异有统计学意义(P<0.05);两组运动功能评估量表(MAS)评分及疗效比较,差异有统计学意义(P<0.05);两组日常生活活动能力评定的Barthel指数评分比较,差异有统计学意义(P<0.05)。结论:标本结合推拿可以增强患肢肌力,提高运动能力,改善日常活动能力,在促进脑卒中患者康复、重返社会中具有良好价值。

电针配合作业疗法治疗中风后肩关节半脱位的疗效分析

目的:分析电针配合作业疗法治疗中风后肩关节半脱位的疗效。方法:选取2017年8月~2019年9月诊治的中风后肩关节半脱位患者70例,根据随机数字表法分为对照组和试验组各35例,对照组仅采取作业疗法治疗,试验组则采取电针配合作业疗法,对比两组患者肩关节脱位情况及上肢运动功能。结果:试验组肩关节复位率为54.29%,高于对照组的28.57%(P<0.05);治疗前,两组上肢FMA评分差异无统计学意义(P>0.05);治疗后,两组上肢FMA评分均高于治疗前,且试验组FMA评分高于对照组,差异均有统计学意义(P<0.05)。结论:电针配合作业疗法治疗中风后肩关节半脱位效果显著,值得推广借鉴。

Establishing Stroke Unit on the Basis of TCM Characteristics

The evidence-based medicine proved that Stroke Unit （SU） works most effectively on stroke. Since SU is originated and developed in Europe and America, SU therapies are limited to Western medicine. We can make flexible clinical guidelines by combining TCM with the SU and establish SU mode with Chinese characteristics.

Acupuncture for Chronic Dysphagic Stroke Evaluated by Fiberoptic Endoscopic Evaluation of Swallowing: A Case Report

Objective： To describe the effect of acupuncture with a new acupoint prescription in treating dysphagia from a chronic stroke patient by fiberoptic endoscopic evaluation of swallowing （FEES）. Methods： A case of chronic dysphagic stroke patient was treated by acupuncture with 5 established acupoints, and assessed by FEES before and after 4-week treatments. Results： There is improvement in swallowing and speech function after acupuncture treatment. Conclusion： There is evidence showing that new acupuncture points maybe beneficial for dysphagic stroke patients.