摘要
目的:观察点按手阳明经经穴缓解偏瘫上肢屈肌痉挛的疗效。方法:选取病程8周以内,患侧上肢屈肘肌群肌张力为改良Ashworth﹙MAS﹚Ⅰ和Ⅰ+的脑卒中偏瘫患者60例,随机分为2组,每组30例。治疗组:点按手阳明经经穴抑制和缓解痉挛;对照组:Bobath压手法抑制和缓解痉挛,疗程均为8周。评价指标:(1)即刻(治疗10min后)患侧上肢屈肘肌群肌张力的MAS评分;(2)疗程结束后,患侧上肢屈肘肌群肌张力的MAS评分;(3)疗程结束后,患侧上肢的Fugl-Meyer评分。结果:(1)2组治疗即刻患侧上肢屈肘肌群MAS评分无显著性差异(P>0.05);(2)2组治疗8周前后患侧上肢屈肘肌群MAS评分均有显著性差异(P<0.05),同时治疗组MAS评分相对于对照组有显著性差异(P<0.05);(3)疗程结束后,治疗组患侧上肢的Fugl-Meyer评分较对照组有显著性差异(P<0.05)。结论:在即刻与中期疗效上看,2组所用方法均可缓解偏瘫上肢屈肘肌群痉挛,但是点按手阳明经经穴疗效优于Bobath压手法,同时证实上肢痉挛的缓解与运动功能的提高是同步的。
Objective：To observe the effect of pressing hand Yangming Meridian Points to relieve the flexor muscle spasm of hemiplegic patient＇s upper limb.Methods：Sixty stroke patients with course 〈8 weeks were recruited.The upper limb flexor elbow muscle tone with a grade of I and I was measured by modified Ashworth scale （MAS）.Stroke patients were randomly divided into two groups,30 cases respectively.Hand Yangming Meridian pressing was applied to relieve spasm in treatment group and Bobath approach inhibition was applied to relieve spasm in control group for 8 weeks.MAS score of upper limb elbow flexion muscle was evaluated before,at 10 minutes after treatment and at the end of the treatment.Fugl-Meyer score of the affect- ed upper limb was evaluated before and at the end of treatment.Results：The improvement of MAS score was significant in both groups （P〈0.05）immediately and 8 weeks after treatment.The MAS score in treatment group was lower than the control group only at the end of treatment（P〈0.05）.The upper extremity Fugl-Meyer score in the treatment group was higher than the control group at the end of treatment （P〈0.05）.Conclusion：In the immediate and mid-term follow-up,two methods can alleviate the hemiplegic upper limb elbow flexor muscle spasticity,but the effect of pressing points in hand Yangming Meridian is better than that of Bobath approach.
出处
《中日友好医院学报》
2015年第5期277-280,共4页
Journal of China-Japan Friendship Hospital
基金
中日友好医院院级课题资助项目(2013-MS-44)
