推拿与抗痉挛技术改善卒中患者肌痉挛的疗效

目的观察穴位推拿结合抗痉挛技术对脑卒中后四肢肌痉挛的改善情况。方法选择2009年9月—2010年9月在上海市闵行区中医医院就诊的脑卒中后四肢肌痉挛的患者40例,随机分成实验组和对照组各20例,实验组以穴位推拿结合抗痉挛技术治疗,对照组单纯以抗痉挛术治疗。治疗前后应用肌张力评分量表(Modified Ashworth Scale,MAS)和运动功能评定量表中上肢运动功能测试部分(the up-per extremities motor function test of Fugl-Meyer movement assessment ment,U-FMA)进行患者肌痉挛和运动功能评定。结果两组患者治疗后MAS和U-FMA评分与治疗前比较均有明显改善,差异有统计学意义(P<0.05),但实验组明显优于对照组,两组比较差异有统计学意义(P<0.05)。结论采用抗痉挛技术治疗能改善脑卒中患者的四肢肌痉挛和运动功能,而穴位推拿结合抗痉挛技术能更有效地促进脑卒中患者上肢肌力和运动功能的恢复,有助于减少脑卒中致残率,提高患者的生活质量。

Meridians massage combined with Rood' s approach can improve muscle spasms in patients after stroke

Objective To observe the effect of meridians massage combined with Rood＇ s approach on muscle spasms in patients after stroke. Methods A total of 40 cases with limb muscle spasms after stroke in Minhang Traditional Chinese Medicine Hospital from September 2009 to September 2010 were chosen. They were randomly and equally divided into the experimental group and control group. The patients in the experimental group were treated with meridians massage combined with Rood＇ s approach. The patients in the control group were only treated with Rood＇ s approach. The Modified Ashworth Scale （MAS） and upper extremities motor function test of Fugl-Meyer movement assessment （U-FMA） were used to evauate the level of muscle spasm and movement functions. Results After treatment the MAS and U-FMA scores in both two groups improved compared with before treatment （P 〈 0.05 ）. The experimental group improved more significantly than the control group （P 〈 0.05 ）. Conclusion The Rood＇ s approach can improve muscle spasms and limb movement function. However, if it is combined with meridians massage, the clinical efficacy will be much better.