智能艾蒸灸联合运动疗法治疗脑卒中偏瘫痉挛的疗效观察

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摘要目的探讨智能艾蒸灸联合运动疗法治疗脑卒中偏瘫痉挛的效果。方法选择2019年5月—2020年4月在宜春市人民医院康复科出院的60 例脑卒中痉挛性偏瘫患者，按照随机数字表法分为观察组（30 例）及对照组（30例）。两组患者均给予常规口服药物治疗预防脑卒中复发，对照组给予运动疗法，观察组在运动疗法的基础上配合智能艾蒸灸慰仪对痉挛肢体多穴同灸，两组均治疗2月。观察两组的肢体（上肢、下肢）痉挛状态疗效、Fugl-Meyer 肢体运动（FMA）评分、日常生活活动能力Barthel 指数（BI）评分。结果观察组的肢体（上肢、下肢）痉挛状态总有效率高于对照组，差异有统计学意义（P＜0.05）；两组干预前的FMA 评分、BI 评分比较，差异无统计学意义（P＞0.05）；两组干预后的FMA 评分、BI 评分均高于干预前，差异有统计学意义（P＜0.05）；观察组干预后的FMA 评分、BI 评分均高于对照组，差异有统计学意义（P＜0.05）。结论智能艾蒸灸联合运动疗法治疗脑卒中偏瘫痉挛的效果较好，可以改善患者的肢体（上肢、下肢）痉挛状态，提高患者的FMA 评分、BI 评分，应用价值较高。

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	晏小艳
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关键词 ：智能艾蒸灸, 运动疗法, 脑卒中偏瘫, 痉挛, 疗效

Abstract：Objective To investigate the effect of intelligent moxa steaming moxibustion combined with kinesitherapy on hemiplegic spasticity after stroke. Methods A total of 60 stroke patients with hemiplegic spasticity who were discharged from the Department of Rehabilitation Medicine of Yichun People′s Hospital from May 2019 to April 2020 were selected and divided into the observation group (30 cases) and the control group (30 cases) according to random number table method. Two groups of patients were given conventional oral medication to prevent recurrence of stroke.The control group was given exercise therapy, and the observation group was treated with intelligent moxa steaming moxibustion instrument on the basis of exercise therapy. The curative effect of spasticity, Fugl-Meyer assessment (FMA)score and Barthel index (BI) score of activities of daily living in the two groups were observed. Results The total effective rate of limb spasticity (upper limbs and lower limbs) in the observation group was higher than that in the control group, the difference was statistically significant (P＜0.05). There was no significant difference in the FMA score and BI score between the two groups before intervention (P＞0.05). The FMA score and BI score of the two group after intervention were higher than those before intervention, the differences were statistically significant (P＜0.05). The FMA score and BI score of the observation group after intervention were higher than those of the control group, the differences were statistically significant (P＜0.05). Conclusion Intelligent moxa steaming moxibustion combined with exercise therapy has a good effect in the treatment of hemiplegic spasticity after stroke. It can improve the spasticity of limbs (upper limbs and lower limbs), and improve the FMA score and BI score of patients, which has higher application value.

Key words： Intelligent moxa steaming moxibustion Exercise therapy Stroke hemiplegia Spasticity Curative effect

基金资助:江西省卫生健康委科技计划项目（20204757）

引用本文:

晏小艳; 虞雪琴; 丁宏; 袁明华; 王小园; 邹文兵. 智能艾蒸灸联合运动疗法治疗脑卒中偏瘫痉挛的疗效观察[J]. 中国当代医药, 2021, 28(21): 41-44.
YAN Xiao-yan; YU Xue-qin; DING Hong; YUAN Ming-hua; WANG Xiao-yuan; ZOU Wen-bing. Observation on the curative effect of intelligent moxa steaming moxibustion combined with exercise therapy in the treatment of hemiplegic spasticity after stroke. 中国当代医药, 2021, 28(21): 41-44.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I21/41

[1]	Gama GL，de Lucena LC，Brasileiro ACAL，et al.Post-stroke hemiparesis：does chronicity，etiology，an d lesion side are associated with gait pattern[J].Top Stroke Rehabil，2017，24（5）：388-393.
[2]	Inatomi Y，Nakajima M，Yonehara T，et al.Ipsilateral hemiparesis in ischemic stroke patients[J].Acta Neurol Scand，2017，136（1）：31-40.
[3]	刘恩增.偏瘫复原丸辅治缺血性脑卒中恢复期临床观察[J].实用中医药杂志，2020，36（9）：1180-1182.
[4]	李淑玲，应海丽，熊媛媛.针灸联合中医定向透药疗法治疗脑卒中偏瘫后肩手综合征[J].实用临床医学，2020，21（3）：6-8.
[5]	张军，郑武熙.中医针灸联合康复训练治疗脑卒中偏瘫的临床效果[J].中国当代医药，2020，27（3）：155-158.
[6]	于藜.中医康复方案对早期脑卒中偏瘫患者运动功能和神经功能的影响分析[J].黑龙江医学，2019，43（10）：1175-1176.
[7]	翁萍璇，陈锦波，郑金利.针刺联合运动疗法治疗脑卒中偏瘫后肩痛的疗效[J].深圳中西医结合杂志，2019，29（11）：42-43.
[8]	黄群英，曾志琴，李梅.补阳还五汤加减联合针灸治疗脑卒中偏瘫后遗症的临床疗效[J].临床合理用药杂志，2019，12（15）：99-100.
[9]	Kirton A，Ciechanski P，Zewdie E，et al.Transcranial direct current stimulation for children with perinatal stroke and hemiparesis[J].Neurology，2017，88（3）：259-267.
[10]	张维保.针灸推拿联合中医药治疗脑卒中偏瘫的临床效果[J].现代诊断与治疗，2018，29（11）：1704-1705.
[11]	Bar-Haim S，Harries N，Hutzler Y，et al.Training to walk amid uncertainty with Re-Step：measurements and changes with perturbation training for hemiparesis and cerebral palsy[J].Disabil Rehabil Assist Technol，2013，8（5）：417-425.
[12]	沙碧源，罗婷婷，张丽荣.补阳还五汤加减联合针灸治疗脑卒中偏瘫45 例临床评价[J].中国药业，2017，26（20）：57-59.
[13]	吴文飞.针灸结合康复治疗脑卒中偏瘫临床效果观察[J].深圳中西医结合杂志，2017，27（19）：45-46.
[14]	杨海霞.中医推拿治疗在脑卒中偏瘫康复中的应用浅析[J].内蒙古中医药，2017，36（15）：128-129.
[15]	张于刚.现代康复训练与传统中医按摩相结合对脑卒中偏瘫（痉挛状态）的治疗作用分析[J].中国医药指南，2017，15（10）：146-147.
[16]	张树根，严隽陶，吴建国，等.中医推拿手法结合理疗治疗脑卒中偏瘫痉挛疗效观察[J].内蒙古中医药，2016，35（9）：113-114.
[17]	钱璟，张捷，杨发明，等.解痉纠偏针法联合康复训练对脑卒中后痉挛性偏瘫患者平衡功能的影响[J].中国民间疗法，2020，28（23）：51-54.