摘要
目的探讨对中风后痉挛性偏瘫患者采用醒脑开窍针法配合推拿治疗后的肌张力及日常生活能力的影响.方法选取2019年9月—2020年9月本院收治的中风后痉挛性偏瘫患者90例,采用随机数字表法分为两组,每组均为45例.A组采用常规治疗,在此基础上,B组采用醒脑开窍针法配合推拿治疗.比较两组的日常生活能力和肌张力水平.结果B组的改良Ashworth痉挛量表分级优于A组,差异有统计学意义(P<0.05).治疗3个月后,B组的Barthel指数评分(75.59±16.33)分高于A组的(61.37±14.26)分,差异有统计学意义(P<0.05).结论采用醒脑开窍针法联合推拿治疗中风后痉挛性偏瘫,能改善患者的肌张力水平,提高其日常生活能力,应用价值高,值得推广.
Objective To explore the effect of Xingnao Kaiqiao acupuncture combined with massage on the changes of muscle tension and daily living ability in patients with post-stroke spastic hemiplegia.Methods A total of 90 patients with post-stroke spastic hemiplegia who were admitted to our hospital from September 2019 to September 2020 were selected and divided into two groups by random number table method,with 45 cases in each group.Group A received conventional therapy,and on this basis,group B received Xingnao Kaiqiao acupuncture combined with massage therapy.The activities of daily living and muscle tonsion levels were compared between the two groups.Results The modified Ashworth scale in group B was better than that in group A,and the difference was statistically significant(P<0.05).After 3 months of treatment,the Barthel index score of group B(75.59±16.33)points was higher than that of group A(61.37±14.26)points,and the difference was statistically significant(P<0.05).Conclusion The use of Xingnao Kaiqiao acupuncture combined with massage in the treatment of post-stroke spastic hemiplegia can improve the patient's muscle tension level and improve their ability of daily living.It has high application value and is worthy of promotion.
作者
张方斌
ZHANG Fangbin(Department of Traditional Chinese Medicine Rehabilitation Physiotherapy,Xinzhou District Traditional Chinese Medicine Orthopedics Hospital,Wuhan City,Hubei Province,Wuhan Hubei,430400,China)
出处
《反射疗法与康复医学》
2021年第9期30-32,共3页
Reflexology And Rehabilitation Medicine
关键词
中风
痉挛性偏瘫
醒脑开窍针法
推拿
肌张力
日常生活能力
Stroke
Spastic hemiplegia
Xingnao Kaiqiao acupuncture
Massage
Muscle tonsion
Barthel index
作者简介
张方斌(1979-),男,湖北武汉人,本科,主治医师,研究方向:颈椎病、腰腿痛、中风后遗症等病的中医中药治疗。
