柔筋汤联合温针灸治疗脑卒中恢复期痉挛性偏瘫临床研究

目的:观察柔筋汤联合温针灸治疗脑卒中恢复期痉挛性偏瘫的临床疗效。方法:选取82例脑卒中恢复期痉挛性偏瘫患者,按随机数字表法分为对照组与治疗组各41例。对照组予以康复训练治疗,治疗组在对照组的基础上给予柔筋汤联合温针灸治疗。比较2组临床疗效、关节痉挛程度(Ashworth)评分、运动功能(Fugl-Meyer)评分、生活自理能力(Barthel)评分。结果:总有效率治疗组为95.1%,对照组为75.6%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组肘关节、腕关节、膝关节、踝关节等Ashworth评分均较治疗前降低(P<0.05),且治疗组各项指标评分均低于对照组(P<0.05)。治疗后,Fugl-Meyer、Barthel评分均高于对照组,差异有统计学意义(P<0.05)。结论:柔筋汤联合温针灸治疗脑卒中恢复期痉挛性偏瘫疗效显著,可明显减轻患者的关节痉挛程度,提高运动功能与生活自理能力。

Clinical Study on Roujin Tang Combined with Warming- Needle and Moxibustion for Spastic Hemiplegia in Convalescent Stroke

Objective:To observe the clinical effect of the therapy of Roujin tang combined with warming-needle and moxibustion for spastic hemiplegia in convalescent stroke. Methods:A total of 82 patients with spastic hemiplegia during convalescent stroke were selected and divided into the control group and the treatment group according to the random number table method, 41 cases in each group. The control group received rehabilitation training treatment, and the treatment group was additionally given Roujin tang combined with warming-needle based on the treatment of the control group. The clinical effect, and scores of Modified Ashworth Scale for Grading Spasticity(Ashworth), Fugl-Meyer Motor Assessment(Fugl-Meyer) and Barthel Index for Activities of Daily Living(Barthel) in the two groups were compared. Results:The total effective rate was 95.1% in the treatment group and 75.6% in the control group,the difference being significant(P<0.05). After treatment,Ashworth scores of elbow,wrist,knee and ankle in both groups were all decreased when compared with those before treatment(P<0.05), and the above scores in the treatment group were lower than those in the control group(P<0.05). After treatment,the scores of Fugl-Meyer and Barthel were higher in the treatment group than in the control group,the difference being significant(P<0.05). Conclusion:The therapy of Roujin tang combined with warming-needle and moxibustion has a significant effect on patients with spastic hemiplegia in convalescent stroke,which can significantly reduce the degree of joint spasm and improve the motor function and self-care ability of daily living.