循经推拿联合康复训练对脑中风患者运动功能恢复的效果及作用机制

发布时间：2018-10-18 12:25

【摘要】：目的:采用循经推拿联合康复训练治疗脑中风患者,观察其对患者运动功能恢复的疗效及作用机制。方法:随机选取2014年9月至2016年4月,于我院康复医学科和神经内科就诊的脑中风患者60例,以就诊先后顺序编号,单盲随机数字表法分为治疗组和对照组,每组30例。对照组:基础治疗+康复训练;治疗组:对照组基础上,采用循经推拿法治疗。治疗前后参照《脑卒中诊断与疗效标准》中的病类评分进行疗效评定;采用Fugl-Mayer评估量表(Fugl-Mayer Assessment,FMA)和Berg平衡量表评估患者的偏瘫肢体运动功能;采用改良Barthel指数(modified Barthel Index,m BI)评估患者日常生活活动能力(Activities of Daily Living,ADL)包括独立生活的能力和技巧熟练程度。结果:2组治疗后FMA和Berg评分均高于治疗前(P0.05);于对照组相比,治疗组治疗后FMA和Berg评分均较高(P0.05)。治疗后,治疗组m BI量表评分明显提高,与治疗前和对照组治疗后比较,差异均有显著性统计学意义(P0.01)。2组治疗后治疗组恢复率高于对照组,差异有统计学意义(χ2=14.634,P=0.03120.05)结论循经推拿联合康复训练治疗脑中风患者提高其运动能力的恢复,提高患者日常生活能力。
[Abstract]:Aim: to observe the therapeutic effect and mechanism of meridian massage combined with rehabilitation training for the recovery of motor function in patients with cerebral apoplexy. Methods: from September 2014 to April 2016, 60 patients with cerebral apoplexy were randomly divided into treatment group (n = 30) and control group (n = 30). Control group: basic treatment rehabilitation training, treatment group: on the basis of the control group, massage treatment along meridian. Before and after treatment, the curative effect was evaluated according to the score of diseases in "criteria for diagnosis and curative effect of Stroke", and the motor function of hemiplegic limbs was evaluated by Fugl-Mayer Evaluation scale (Fugl-Mayer Assessment,FMA) and Berg balance scale. The modified Barthel index (modified Barthel Index,m BI) was used to evaluate the activity of daily living (Activities of Daily Living,ADL), including the ability and skill proficiency of independent living. Results: the scores of FMA and Berg in both groups were higher than those before treatment (P0.05), and the scores of FMA and Berg in treatment group were higher than those in control group (P0.05). After treatment, the score of m BI scale in the treatment group was significantly improved compared with that before treatment and after treatment in the control group (P0.01). The recovery rate in the treatment group was higher than that in the control group after treatment (P0.01). Conclusion the rehabilitation training combined with massage along the meridian can improve the recovery of motor ability and improve the ability of daily living of the patients with cerebral apoplexy.
【作者单位】：中国人民解放军第九五医院康复医学科;
【分类号】：R247.9;;R244

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