| 丁 勇,赵 焰.扶正祛邪通络针法联合三阴经推拿治疗脑卒中后痉挛性肢体功能障碍的效果[J].中国康复医学杂志,2025,(4):561~565 |
| 扶正祛邪通络针法联合三阴经推拿治疗脑卒中后痉挛性肢体功能障碍的效果 点此下载全文 |
| 丁 勇 赵 焰 |
| 湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院推拿科/康复医学科，湖北省武汉市， 430074 |
| 基金项目：湖北省科学技术厅2017年湖北省科技计划项目（2017ACA192） |
| DOI：10.3969/j.issn.1001-1242.2025.04.013 |
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| 摘要： |
| 摘要
目的：探讨扶正祛邪通络针法联合手足三阴经推拿治疗脑卒中后痉挛性肢体功能障碍的效果。
方法：选取2020年5月—2022年5月本院84例脑卒中后痉挛性肢体功能障碍患者，采用随机数字表法分为对照组（n=42）和观察组（n=42）。对照组在基础治疗前提下结合常规康复治疗，观察组在对照组基础上给予扶正祛邪通络针法联合三阴经推拿治疗，共治疗28d。比较两组治疗前后改良Ashworth量表（MAS）评级、临床痉挛指数（CSI）评分、Fugl-Meyer评（FMA）、日常活动能力（ADL）量表评分、健康调查简表（SF-36）评分变化；比较两组临床疗效。
结果：治疗后，两组上、下肢MAS评级较治疗前改善，且治疗后观察组上、下肢MAS评级均优于对照组（P<0.05）；治疗后两组CSI评分均降低，且观察组CSI评分低于对照组（P<0.01）；两组FMA、ADL评分均增加，且观察组FMA、ADL评分高于对照组（P<0.01）；两组SF-36量表各维度评分均明显提高，且观察组SF-36量表各维度评分均高于对照组（P<0.01）；观察组治疗总有效率为90.48%（38/42），高于对照组的71.43%（30/42），差异有显著性意义（P<0.05）。
结论：扶正祛邪通络针法联合手足三阴经推拿治疗脑卒中后痉挛性肢体功能障碍患者疗效确切，能有效缓解肌张力和痉挛程度，提高患者肢体运动功能及日常生活能力，提高患者生活质量水平。 |
| 关键词：脑卒中 痉挛 肢体功能障碍 扶正祛邪通络针法 三阴经 推拿 |
| Curative effect of Fuzheng Quxie Tongluo acupuncture combined with Sanyin Meridian tuina on post-stroke spastic limb dysfunction Download Fulltext |
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| Department of Tuina and Rehabilitation Medicine，Hubei Provincial Hospital of Traditional Chinese Medicine， Wuhan， Hubei， 430074 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To explore the curative effect of Fuzheng Quxie Tongluo acupuncture combined with Sanyin Meridian tuina on post-stroke spastic limb dysfunction.
Method： A total of 84 patients with post-stroke spastic limb dysfunction admitted to the hospital were enrolled between May 2020 and May 2022 and randomly divided into the control group （n=42） and observation group （n=42）. Based on the basic treatment， both group received routine rehabilitation therapy， and the observation group additionally received Fuzheng Quxie Tongluo acupuncture combined with Sanyin Meridian tuina. All were treated for 28d. The modified Ashworth scale （MAS）， Clinical spasticity index （CSI）， Fugl-Meyer Assessment Scale （FMA）， activity of daily living （ADL） and short form of health survey （SF-36）were compared before and after treatment， and clinical curative effect were compared between the two groups.
Result： After treatment， improvements were observed in the upper and lower limb MAS grades in both groups, with the observation group showing better MAS grades compared to the control group （P<0.05）. Both groups showed a reduction in CSI scores after treatment（P<0.05）， with the observation group scoring lower than control group （P<0.01）. FMA and ADL were increased in both groups（P<0.01）， with the observation group scoring higher than control group （P<0.01）. All dimensions of SF-36 scores significantly increased in both groups （P<0.01）， with the observation group scoring higher than control group （P<0.01）. The total response rate of treatment in observation group was higher than in control group [90.48 % （38/42） vs 71.43% （30/42）] （P<0.05）.
Conclusion： The combined treatment of curative effect of Fuzheng Quxie Tongluo acupuncture with Sanyin Meridian tuina is effective on patients with post-stroke spastic limb dysfunction. It can effectively relieve muscle tension and spasticity，improve limb motor function and activities of daily living，and improve quality of life. |
| Keywords:stroke spasticity spastic limb dysfunction Fuzheng Quxie Tongluo acupuncture Sanyin meridian tuina |
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