《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (12): 1109-1111.

• 论文 • 上一篇    下一篇

中医推拿对脑卒中后上肢痉挛A型肉毒毒素干预效果的影响

秦茵1，崔利华2,3，郭健红1，高辉1，丁晶晶1，吴基伟1   

  1. 1.南京军区福州总医院中医理疗科，福建福州市350025；2.中国康复研究中心北京博爱医院神经康复科，北京市100068；3.首都医科大学康复医学院，北京市100068。
  • 收稿日期:2012-04-25 修回日期:2012-10-29 出版日期:2012-12-25 发布日期:2012-12-25

Effect of Traditional Chinese Massage on Upper Limbs Spasticity in Stroke Patients Accepted Botulinum Toxin Type A Injection

QIN Yin, CUI Li-hua, GUO Jian-hong, et al   

  1. Department of Physiotherapy, Fuzhou General Hospital of Nanjing Military Command Region,Fuzhou 350025, Fujian, China
  • Received:2012-04-25 Revised:2012-10-29 Published:2012-12-25 Online:2012-12-25

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摘要： 目的探讨中医推拿对A型肉毒毒素干预脑卒中后上肢屈肌痉挛及运动功能效果的影响。方法将74 例脑卒中患者分为治疗组(n=36)和对照组(n=38)，对照组进行A型肉毒毒素注射，治疗组在A型肉毒毒素注射后接受中医推拿；两组均行常规康复训练。在治疗前，治疗后2、4、8、12 周采用改良Ashworth 量表、Fugl-Meyer 上肢功能评定法和改良Barthel 指数进行评定。结果两组患者治疗后各项评分均显著改善(P<0.001)，组间比较无显著性差异(P>0.05)。结论两种治疗方法均可降低脑卒中后上肢屈肌痉挛，但疗效方面没有明显差异。

关键词: 脑卒中, 上肢, 痉挛, 推拿, A型肉毒毒素

Abstract: Objective To explore the effect of traditional Chinese massage on upper limbs spasticity in stroke patients who accepted Botulinum toxin type A (BTX-A) injection. Methods 74 stroke patients with upper limbs spasticity were divided into treatment group (n=36)and control group (n=38). The control group received BTX-A injection, and the treatment group received massage after injection. Both groups received rehabilitation training after injection and were assessed with modified Ashworth scale, Fugl-Meyer assessment and modified Barthel index before and 2 weeks, 4 weeks, 8 weeks and 12 weeks after treatment. Results All the scores of assessments improved in both groups after treatment (P<0.001), and there was no significant difference between them (P>0.05). Conclusion Addition of traditional Chinese massage doesn't work more on spasticity of upper limbs after stroke when accepted BTX-A injection.

Key words: stroke, upper limbs, spasticity, massage, Botulinum toxin type A