针刺结合经筋推拿治疗缺血性卒中后患者上肢痉挛性瘫痪的疗效观察

Clinical observation on spastic paralysis of upper limbs in ischemic stroke treated by acupuncture combined with meridian tendon massage

关键词:  针刺  经筋推拿  缺血性卒中  上肢痉挛性瘫痪

Key words:  acupuncture  meridian tendon massage  ischemic stroke  spastic paralysis of upper limbs

摘要:

[目的] 探讨缺血性卒中后患者在针刺治疗的基础上应用经筋推拿改善上肢痉挛性瘫痪的效果观察。[方法] 收集2018年1—6月在院的缺血性卒中后并伴有上肢痉挛性瘫痪患者60例，随机分为观察组30例和对照组30例。观察组在对照组的基础上，每日采用经筋推拿，6 d为1个疗程，休息1 d，8个疗程后，比较两组患者上肢痉挛改善的程度；对照组采取中风病一般护理常规及针刺治疗，疗程与观察组相同。[结果] 观察组和对照组治疗前后比较临床痉挛量表（CSI）评分、Ashworth评分、神经功能缺损程度（NIHSS）评分、日常生活能力（MBI）评分、平衡评估量表（Fugl-Meyer）评分差异具有统计学意义（P<0.05）；两组患者治疗后CSI评分、Ashworth评分、NIHSS评分、MBI评分比较，差异具有统计学意义（P<0.05）；治疗后两组间患者Fugl-Meyer评分比较，差异不具有统计学意义（P>0.05）。[结论] 运用针刺治疗配合经筋推拿可以有效地改善缺血性卒中患者上肢痉挛，同时降低了肌张力，提高了日常运动能力。

Abstract:

[Objective] To explore the effect of acupuncture combined with meridian tendon massage on alleviating spastic paralysis of upper limbs in the patients with ischemic stroke.[Methods] The 60 patients withspastic paralysis caused by ischemic stroke from January to June 2018 were randomly divided into observation group (30 cases) and control group (30 cases). On the basis of the control group,the observation group continued to use meridian tendon massage every day,six days as a course of treatment,rest one day.After eight courses,the degree of improvement of upper limb spasm between the two groups was compared.The control group adopted routine nursing care for sequelae of stroke,and the course of treatment was the same as that of the observation group.[Results] After clinical observation,the CSI score,Ashworth score,NIHSS score,MBI score and Fugl-Meyer score were compared before and after treatment between the observation group and the control group (P<0.05). There were significant differences in CSI score,Ashworth score,NIHSS score and MBI score between the two groups after treatment (P<0.05). There was no significant difference in Fugl-Meyer score between the two groups after treatment (P>0.05).[Conclusion] The application of acupuncture and meridian tendon massage can effectively improve the spasticity of upper limbs,reduce the muscle tension and improve the daily exercise ability of the ischemic stroke patients withspastic paralysis of upper limbs.