综合疗法配合康复训练、情志疏导治疗中风后下肢痉挛状态临床研究

目的:观察综合疗法配合康复训练、情志疏导干预中风后下肢痉挛状态的临床效果.方法:将82例中风后下肢痉挛患者随机分为对照组40例与观察组42例,2组入院后均给予西药治疗,并进行康复训练、情志疏导,在此基础上,对照组给予中药熏蒸治疗,观察组给予中药熏蒸联合艾灸治疗,2组均观察治疗4周.治疗前、治疗4周后运用临床痉挛指数(C...

Clinical Study on Integrated Comprehensive Therapy Combined with RehabilitationTraining and Emotional Counseling for Spasticity of Lower Limbs After Stroke

Objective:To observe the clinical effect of the integrated comprehensive therapy combined with rehabilitation training and emotional counseling on spasticity of lower limbs after stroke.Methods:A total of 82 patients with spasticity of lower limbs after stroke were randomly divided into the control group and the observation group,40 and 42 cases in each group respectively.After admission,both groups were given western medicine,rehabilitation training and emotional counseling for treatment.On this basis,the control group was additionally treated with Chinese herbal fumigation,and the observation group was additionally treated with Chinese herbal fumigation and moxibustion.Both groups were observed for four weeks.Before treatment and after four weeks of treatment,the Clinical Spasticity Index(CSI)was used to evaluate the degree of muscle spasm;Fugl-Meyer Assessment Scale was used to evaluate limb function;Barthel Index(BI)was used to evaluate activities of daily living,and Stroke Impact Scale(SIS)was used to evaluate the quality of life.The clinical effect in the two groups was compared.Results:After treatment,the total effective rate was 90.48%in the observation group and 72.50%in the control group,the difference being significant(P<0.05).The improvement of muscle spasm in the observation group was better than that in the control group(P<0.05).The scores of Fugl-Meyer and BI in the two groups were increased when compared with those before treatment;and the above two scores in the observation group were higher than those in the control group,differences being significant(P<0.05).The scores of movement ability,strength,memory and communication ability and emotion of SIS in the two groups were increased when compared with those before treatment,and the scores of the above four dimensions in the observation group were higher than those in the control group,differences being significant(P<0.05).Conclusion:The integrated comprehensive therapy combined with rehabilitation training and emotional counseling,has a satisfactory effect on spasticity of lower limbs after stroke,which helps to relieve the degree ofmuscle spasm,and improve the motor function of limbs,activities of daily living ability and the quality of life.