经筋疗法联合神经功能重建系统治疗脑梗死后痉挛性瘫痪的临床观察

Clinical research on Jingjin therapy combined with nerve function reconstruction in treating spastic paralysis after cerebral infarction

关键词:  经筋疗法  神经功能重建  脑梗死  痉挛性瘫痪

Key words:  Jingjin therapy  nerve function reconstruction  cerebral infarction  spastic paralysis

摘要:

[目的] 观察经筋疗法联合神经功能重建系统治疗中风后痉挛性瘫痪的疗效。[方法] 将60 例符合诊断及纳入标准患者按照随机数字表法随机分为对照组和观察组，每组各30 例。对照组接受常规治疗，观察组在常规治疗基础上加用经筋疗法及神经功能重建系统，以Ashworth、上肢运动功能评分（Fugl-Meyer）、巴氏指数（Barthel）以及美国国产卫生院神经功能缺损评分（NIHSS）、脑卒中患者临床神经功能缺损度评分标准（CSS）为评价指标，观察患者治疗前后肌张力、运动功能日常生活能力以及神经功能的变化。[结果] 两种治疗方案均获得一定疗效，观察组疗效优于对照组（P<0.05 或P<0.01）。[结论] 经筋疗法联合神经功能重建治疗系统的综合方案，治疗脑梗死后痉挛性瘫痪疗效显著，值得推广。

Abstract:

[Objective] To observe the clinical therapeutic effect of Jingjin (musculature of meridian) therapy combined with nerve function reconstruction on limb spastic paralysis after cerebral infarction. [Methods] The 60 patients met with diagnosed and incorporated standard were randomly divided into control group and observation group according to the random number table, with 30 cases in each group. Control group accepted routine treatment; while observation group received Jinjing therapy combined nerve function reconstruction on the basis of routine therapy. Ashworth, Fugl-Meyer, Barthel, NIHSS and CSS were taken as the evaluation indexes. [Results] Two kinds of treatment plan obtained certain effect, the curative effect in observation group was better than that of control group (P<0.05 or P<0.01). [Conclusion] Comprehensive program of Jingjin therapy combined nerve function reconstruction can treat spastic paralysis after cerebral infarction. The effect is significant and it is worthy of promotion.