艾灸联合中药熏蒸治疗脑卒中康复期单侧上肢功能障碍临床研究
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R743.3

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Clinical Study on Moxibustion Combined with Chinese Medicine Fumigation for Unilateral Upper Limb Dysfunction During Stroke Rehabilitation
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    摘要:

    目的:观察艾灸联合中药熏蒸治疗脑卒中康复期单侧上肢功能障碍的临床效果。方法:选取 86 例脑卒中康复期单侧上肢功能障碍患者,按照随机数字表法分为对照组和联合组各43 例。对照组给予康复 训练治疗,联合组在对照组基础上给予以艾灸联合中药熏蒸治疗。2 组均连续治疗8 周后,比较2 组临床疗 效,以及治疗前后中医证候评分、上肢功能[上肢动作研究量表(ARAT)、改良Ashworth 痉挛量表(MAS) ]、 上肢疼痛[视觉模拟评分法(VAS) ]、肿胀程度。结果:治疗后,联合组总有效率为90.70%,对照组为 72.09%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组偏身麻木、肢体屈伸不利、关节酸沉等中医 证候评分均较治疗前降低(P<0.05),且联合组各项评分均低于对照组(P<0.05)。治疗后,2 组ARAT 评分 较治疗前升高(P<0.05),MAS 评分均较治疗前降低(P<0.05);且联合组ARAT 评分高于对照组(P< 0.05),MAS 评分均低于对照组(P<0.05)。治疗后,2 组上肢疼痛VAS 评分、肿胀程度较均治疗前降低(P< 0.05),且联合组VAS 评分、肿胀程度均低于对照组(P<0.05)。结论:艾灸联合中药熏蒸疗法能有效改善患 者临床症状,提高上肢功能,减轻肌肉痉挛与肿痛,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of moxibustion combined with Chinese medicine fumigation on unilateral upper limb dysfunction during stroke rehabilitation. Methods:A total of 86 patients with unilateral upper limb dysfunction were selected and divided into the control group and the combination group according to random number table method, with 43 patients in each group. The control group was given rehabilitation training, and the combination group was given moxibustion combined with Chinese medicine fumigation based on the treatment of the control group. After 8 weeks of treatment,the clinical effects, and traditional Chinese medicine (TCM) syndrome scores, upper limb function [Action Research Arm Test (ARAT) and Modified Ashworth Scale (MAS)],upper limb pain [Visual Analogue Scale (VAS)] and swelling degree were compared before and after treatment in the two groups. Results: After treatment, the total effective rate was 90.70% in the combination group and 72.09% in the control group, the difference being significant (P<0.05). After treatment,the TCM syndrome scores of heminumbness,poor limb flexion and extension,and sore and heavy joints in the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the combination group were lower than those in the control group (P<0.05). After treatment,the ARAT scores in the two groups were increased when compared with those before treatment (P<0.05), and the MAS scores were decreased when compared with those before treatment (P<0.05); the ARAT score in the combination group was higher than that in the control group (P<0.05),and the MAS score was lower than that in the control group (P< 0.05). After treatment, the upper limb pain VAS scores and swelling degree in the two groups were decreased when compared with those before treatment (P<0.05),and VAS score and swelling degree in the combination group were lower than those in the control group (P<0.05). Conclusion: Moxibustion combined with Chinese medicine fumigation can effectively improve the clinical symptoms of patients, enhance the function of upper limbs,and relieve muscle spasm and swelling pain,whose clinical effect is significant.

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孙夏莹,林苏进,陈飞飞,俞晓露.艾灸联合中药熏蒸治疗脑卒中康复期单侧上肢功能障碍临床研究[J].新中医,2024,56(6):146-150

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  • 在线发布日期: 2024-03-26
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