中医综合康复疗法治疗中风偏瘫痉挛状态60例临床观察

以中风病偏瘫为研究对象，以中风偏瘫痉挛状态为研究重点，采用目前康复学界常用的修改的Ａｓｈｗｏｒｔｈ痉挛评定级、简化Ｆｕｇｌ－Ｍｅｙｅｒ评价法Ｂａｒｔｈｅｌ氏ＡＤＬ指数分别评定痉挛程度、运动功能水平、日常生活能力，反映患者功能水平。９０例中风病偏瘫患者随机分为治疗６０例和对照组３０例。治疗组采用中医综合康复训练。对照组采用现代康复训练。结果中医综合康复方法对痉挛状态的改善优于对照组，而运动功能水平的提高，生活自理能力的提高，两组均有明显改善。说明中医康复方法在改善痉挛状态方面有独特的优势。中西医康复方法具有互补性，以中西医康复方法结合的方式建立中医综合康复方案是可行的。

Clinical Observation on Spasticity Treated with Comprehensive Rehabilitation Therapy of TCM in 60 Cases of Hemiplegia due to Apoplexy

The revised Ashworth assessment of spasm, simplified Fugl -Meyer assessment method and Barthel's ADL index were used to evaluate spasm extent, functional level of motor and daily living ability, respectively, to reflect functional level of the patient. 90 Cases of hemiplagia due to apoplexy were randomly divided into treatment group (60 cases) and control group (30 cases). Comprehensive rehabilitation exercises of TCM were used in the treatment group and modern rehabilitation exercises were used in the control group. Results indicated that the improving action of comprehensive rehabilitation method of TCM on spasticity was superior to that of the control group, with marked improvement of motor function level and living ability in the two groups. It is suggested that rehabilitation method of TCM has distinct advantage, and rehabilitation methods of TCM and Western medicine are of complementarity.