枢经推拿法对脑梗塞患者的运动功能及脑血流动力学的影响

发布时间：2018-03-24 05:13

本文选题：脑梗塞　切入点：枢经推拿　出处：《广西医科大学》2016年硕士论文

【摘要】：目的：通过观察枢经推拿疗法对脑梗塞患者的运动功能及脑血流动力学的影响,为脑梗塞患者的临床康复治疗探索一种更有效的治疗方法,以改善脑梗塞患者遗留的肢体功能障碍的情况,降低其致残率,提高其生活质量。方法：选择符合纳入标准的脑梗塞的患者60例,随机分为治疗组和对照组,每组各30例,对照组给予脑梗塞的常规基础治疗及常规推拿治疗,治疗组给予脑梗塞的常规基础治疗及枢经推拿疗法。治疗前24小时内给予患者第一次评定,治疗2周后给予患者第二次评定,采用临床神经功能缺损评分、改良Fugl-Meyer运动功能评分、Barthel旨数进行评价,并采用经颅多普勒(TCD)探测患者患侧大脑中动脉(MCA),观察其平均血流速度(Vm)值和脉动指数(PI)值。采用spss16.0软件对观察数据进行统计学分析,比较两组间观察指标的改善情况。结果：1.治疗组与对照组组内比较,治疗后患者的临床神经功能缺损评分、改良Fugl-Meyer运动功能评分、Barthel指数与治疗前比较,差异均具有统计学意义(P0.05)。2.经治疗后,治疗组的Barthel指数得分与对照组比较,差异无统计学意义(P0.05),但是治疗组的临床神经功能缺损评分、改良Fugl-Meyer运动功能评分与对照组比较,差异具有统计学意义(P0.05)。3.治疗组和对照组经治疗后,患者患侧MCA的Vm、PI值与治疗前比较,差异均具有统计学意义(P0.05)。4.经治疗后,治疗组患侧MCA的Vm与对照组比较,差异具有统计学意义(P0.05)；治疗组患侧MCA的PI值与对照组比较,差异无统计学意义(P0.05)。结论：临床上治疗脑梗塞患者时,在西医常规治疗、中药以及针灸的治疗基础上,加用枢经推拿法,能够更好的改善患者神经功能缺损程度、运动功能及患侧大脑中动脉的血流速度,值得临床推广。
[Abstract]:Objective: to investigate the effect of armature meridian massage therapy on motor function and cerebral hemodynamics in patients with cerebral infarction. In order to improve the left limb dysfunction, reduce the disability rate and improve the quality of life of patients with cerebral infarction, 60 patients with cerebral infarction who met the inclusion criteria were selected and randomly divided into treatment group and control group with 30 cases in each group. The control group was given routine basic treatment and conventional massage therapy for cerebral infarction, while the treatment group was given routine basic treatment and armature massage therapy for cerebral infarction. The patients were evaluated for the first time within 24 hours before treatment. After 2 weeks of treatment, the patients were assessed for the second time. The clinical neurological impairment score and the modified Fugl-Meyer motor function score were used to evaluate the number of Barthel scores. The mean blood flow velocity (Vm) and pulsation index (Pi) were measured by transcranial Doppler imaging (TCD) in the middle cerebral artery (MCA) of the affected side. The observed data were statistically analyzed by spss16.0 software. Results: 1.Compared with the control group, the clinical neurological deficit score, modified Fugl-Meyer motor function score and Barthel index were compared between the treatment group and the control group. After treatment, the scores of Barthel index in the treatment group were not significantly different from those in the control group (P 0.05), but the clinical neurological deficit score and the modified Fugl-Meyer motor function score in the treatment group were compared with those in the control group. The difference was statistically significant (P < 0.05). After treatment, the MCA of the patients in the treatment group and the control group were compared with those before treatment, and the differences were statistically significant. 4. After treatment, the VM of MCA in the treatment group was higher than that in the control group. There was no significant difference in Pi value of MCA between the treatment group and the control group. Conclusion: in clinical treatment of cerebral infarction patients, on the basis of routine western medicine treatment, traditional Chinese medicine and acupuncture treatment, there is no significant difference in Pi value between the treatment group and the control group. The application of armature massage can improve the degree of nerve function defect, motor function and blood flow velocity of the affected middle cerebral artery, which is worth popularizing in clinic.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R743.3

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