摘要
目的观察中药热熨敷疗法对脑卒中后上肢痉挛病人肢体功能恢复的疗效。方法选择2014年6月—2015年5月在北京市顺义区中医医院康复科住院和门诊治疗的脑卒中后患侧肢体上肢痉挛的病人60例。按入组先后顺序,采用随机数字表法将60例病人分为对照组和观察组,各30例。对照组给予康复治疗,每日1次,每次40min;观察组在康复治疗的基础上,给予中药热熨敷疗法,每日1次,每次30min;两组均治疗4周。采用改良Ashworth痉挛量表评定病人上肢痉挛改善程度,采用Fugl-Meyer运动功能评分评定病人上肢运动功能。结果脱落1例,共59例入组,其中对照组30例,观察组29例。治疗后两组改良Ashworth评分和Fugl-Meyer评分较治疗前均改善(P <0.05);观察组较对照组改善明显,差异有统计学意义(P <0.05)。结论中药热熨敷疗法结合康复治疗可以更加有效地改善脑卒中后上肢痉挛症状及上肢功能。
Objective To investigate the effect of Chinese medicine fomentation on limb function recovery in patients with upper limb spasticity after stroke.Methods Sixty patients with upper limb spasticity after stroke from June 2014 to May 2015 in the department of rehabilitation,Shunyi Hospital of Traditional Chinese Medicine were randomly divided into two groups:control group(n =30)treated with routine rehabilitation treatment,and treatment group(n =30)treated with Chinese medicine fomentation in the basis of routine rehabilitation treatment for 4 weeks.The modified Ashworth Scale(MAS)was used to assess the improvement of upper limb paralysis in patients,and Fugl-Meyer Assessment(FMA)was used to assess the upper limb motor function.Results After treatment,the scores of MAS and FMA were improved in two groups(P <0.05),which were better in treatment group than that in control group(P <0.05).Conclusion Chinese medicine fomentation and rehabilitation can improve upper limb spasticity and function in patients with upper limb spasticity after stroke
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