艾灸配合康复治疗对中风后下肢痉挛状态的影响.pdfVIP

上海针灸杂志2014 年2 月第33 卷第2 期 ·105 · 文章编号:1005-0957(2014)02-0105-03 ·临床研究· 艾灸配合康复治疗对中风后下肢痉挛状态的影响 霍新慧1,2 1 3 3 ,赵百孝,周钰,王宝兰 (1.北京中医药大学,北京 100029;2.新疆医科大学,乌鲁木齐 830054;3.新疆医科大学第一附属医院,乌鲁木齐 830054) 【摘要】 目的 观察艾灸配合康复治疗中风后下肢痉挛的疗效。方法 将68 例患者随机分为治疗组(艾灸结合康复治疗) 和对照组(康复治疗)。采用临床痉挛指数CSI 量表、Fugl-Meyer 运动功能评定、Barthel 指数分别评定下肢痉挛程度、运动 功能水平、日常生活能力,以评价两种治疗方法的疗效。结果 治疗组临床痉挛指数CSI 量表、Fugl-Meyer 运动功能评定与 对照组相比差异有统计学意义(P＜0.01),Barthel 指数差异也有统计学意义(P＜0.05)。结论 艾灸配合康复治疗可有效改 善患者下肢痉挛状态,提高运动功能水平、日常生活能力,较单纯康复疗法为佳。 【关键词】 灸法;中风后遗症;偏瘫;肌痉挛;CSI 评分;Fugl-Meyer 评分 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.02.0105 1,2 1 3 Effect of Moxibustion plus Rehabilitation on Post-stroke Lower-limb Spasticity HUO Xin-hui , ZHAO Bai-xiao , ZHOU Yu , WANG Bao-lan3. 1.Beijing University of Chinese Medicine,Beijing 100029,China; 2.Xinjiang Medical University ,Urumchi 830054, China; 3.The First Teaching Hospital of Xinjiang Medical University,Urumchi 830054,China [Abstract] Objective To observe the therapeutic efficacy of moxibustion plus rehabilitation in treating post-stroke lower-limb spasticity. Method Sixty-eight patients were randomized into a treatment group (moxibustion combined with rehabilitation) and a control group (rehabilitation). The clinical spasticity index (CSI), Fugl-Meyer assessment scale, and Barthel Index (BI) were adopted to respectively determine the lower-limb spasticity, motor function, activity of daily living, for evaluating the therapeutic efficacies of the two treatment methods. Result There were significant differences between the two groups in the CSI and Fugl-Meyer scores (P ＜0.01) and BI score (P ＜0.05). Conclusion Moxibustion plus rehabilitation can effectively improve the lower-limb spastici