推拿联合康复训练对脑梗死后偏瘫患者肢体功能及生活自理能力的影响
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R255.2;R244.1

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Effect of Tuina Combined with Rehabilitation Training on Limb Function and Self- Care Ability of Patients with Hemiplegia After Cerebral Infarction
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    摘要:

    目的:观察推拿联合康复训练对脑梗死后偏瘫患者肢体功能及生活自理能力的影响。方法:选取86 例脑梗死后偏瘫患者,采用区组随机化法分为康复组和联合组各43 例。2 组均给予西药对症治疗,康复组在此基础上加用康复训练,联合组在康复组基础上进行推拿治疗,2 组均治疗3 周。比较2 组治疗前后肌力、肢体运动功能及生活自理能力。结果:治疗后,2 组肌力均较治疗前改善(P<0.05),联合组肌力比康复组改善更明显(P<0.05)。治疗后,2 组上肢Fugl-Meyer 运动功能评定量表(FMA)、下肢FMA 评分及Barthel 指数(BI) 评分均较治疗前升高(P<0.05),联合组上肢FMA、下肢FMA 评分及BI 评分均高于康复组(P<0.05)。结论:推拿联合康复训练能有效改善脑梗死后偏瘫患者的肌力,提高其肢体功能及生活自理能力。

    Abstract:

    Abstract:Objective:To observe the effect of tuina combined with rehabilitation training on limb function and self-care ability of patients with hemiplegia after cerebral infarction. Methods: A total of 86 cases of patients with hemiplegia after cerebral infarction were selected and divided into the rehabilitation group and the combination group according to the block randomization method,with 43 cases in each group. Both groups were given symptomatic treatment of western medicine; the rehabilitation group was additionally given rehabilitation training,and the combination group was additionally treated with tuina based on the treatment of the rehabilitation group. Both groups were treated for three weeks. Before and after treatment,muscle strength,motor function of limbs and self-care ability in the two groups were compared. Results:After treatment,muscle strength in the two groups was improved when compared with that before treatment(P<0.05),and the improvement in the combination group was more significant than that in the rehabilitation group(P<0.05). After treatment, scores of Fugl-Meyer Assessment(FMA) of motor function of upper and lower limbs and Barthel index(BI) scores in the two groups were increased when compared with those before treatment(P<0.05),FMA score of upper and lower limbs,and BI scores in the combination group were higher than those in the rehabilitation group(P<0.05). Conclusion:The therapy of tuina combined with rehabilitation training can effectively improve the muscle strength, limb function and self- care ability of patients with hemiplegia after cerebral infarction.

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徐丽丽.推拿联合康复训练对脑梗死后偏瘫患者肢体功能及生活自理能力的影响[J].新中医,2022,54(4):155-158

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  • 在线发布日期: 2022-02-24
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