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梁瑛林,黄智胜,王艳珊,汪可飞,殷 茵,肖观伟.调督灸法联合推拿点穴疗法在中风后上肢痉挛性偏瘫患者中的应用研究[J].现代生物医学进展英文版,2024,(21):4188-4190.
调督灸法联合推拿点穴疗法在中风后上肢痉挛性偏瘫患者中的应用研究
Study on the Application of Tiaodu Moxibustion Combined with Massage and Acupoint Therapy in Patients with Upper Limb Spastic Hemiplegia after Stroke
Received:June 05, 2024  Revised:June 30, 2024
DOI:10.13241/j.cnki.pmb.2024.21.041
中文关键词: 调督灸法  推拿点穴疗法  中风  上肢痉挛性偏瘫
英文关键词: Tiaodu moxibustion  Massage and acupoint therapy  Stroke  Upper limb spastic hemiplegia
基金项目:广东省中医药局科研项目(20213014)
Author NameAffiliationE-mail
梁瑛林 广州中医药大学 广东 广州 510006广州中医药大学附属广州中西医结合医院康复科 广东 广州 510800 Liangyinglin2024@163.com 
黄智胜 广州中医药大学附属广州中西医结合医院康复科 广东 广州 510800  
王艳珊 广州中医药大学附属广州中西医结合医院神经内科 广东 广州 510800  
汪可飞 广州中医药大学 广东 广州 510006广州中医药大学附属广州中西医结合医院康复科 广东 广州 510800  
殷 茵 广州中医药大学 广东 广州 510006广州中医药大学附属广州中西医结合医院康复科 广东 广州 510800  
肖观伟 广州中医药大学 广东 广州 510006广州中医药大学附属广州中西医结合医院康复科 广东 广州 510800  
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中文摘要:
      摘要 目的:观察中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗后的临床疗效。方法:选取86例中风后上肢痉挛性偏瘫患者,采取随机双色球法,将其分为对照组(n=43,常规康复训练干预,推拿点穴疗法治疗)和治疗组(n=43,对照组的基础上接受调督灸法治疗)。对比两组肢体痉挛程度、上肢肌电图指标、手功能恢复情况、上肢运动功能。结果:治疗2个月后治疗组肢体痉挛程度分级改善效果优于对照组(P<0.05)。治疗2个月后,治疗组H反射最大波幅/M波最大波幅(H max /M max )值、上肢功能障碍评定量表(DASH)评分低于对照组,最大伸展角度(MAE)、手指主动关节活动范围(AROM)、最大屈曲角度(MLE)、Fugl-Meyer运动功能评定量表上肢部分(FMA-UE)、功能综合评定量表(FCA)评分大于对照组(P<0.05)。结论:中风后上肢痉挛性偏瘫患者经调督灸法联合推拿点穴疗法治疗有利于改善肢体功能。
英文摘要:
      ABSTRACT Objective: To observe the clinical efficacy of Tiaodu moxibustion combined with massage and acupoint therapy in patients with upper limb spastic hemiplegia after stroke. Methods: 86 patients with upper limb spastic hemiplegia after stroke were selected, the random two-color ball method was adopted, patients were divided into control group (n=43, conventional rehabilitation training intervention, massage and acupoint therapy) and treatment group (n=43, received Tiaodu moxibustion on the basis of control group). The degree of limb spasm, upper limb electromyography index, hand function recovery and upper limb motor function were compared between two groups. Results: 2 months after treatment, the improvement effect of limb spasm grade in treatment group was better than that in control group (P<0.05). 2 months after treatment, the H reflection maximum amplitude/M wave maximum amplitude (H max /M max ) value and upper limb dysfunction rating scale (DASH) score in treatment group were lower than those in control group, and the maximum extension angle (MAE), range of motion of finger active joint (AROM), maximum flexion angle (MLE), upper limb part of Fugl-Meyer motor function rating scale (FMA-UE) and functional comprehensive rating scale (FCA) scores were higher than those in control group (P<0.05). Conclusion: Tiaodu moxibustion combined with massage and acupoint therapy is beneficial to improve limb function in patients with upper limb spastic hemiplegia after stroke.
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