综合疗法配合康复训练、情志疏导治疗中风后下肢痉挛状态临床研究
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R255.2

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Clinical Study on Integrated Comprehensive Therapy Combined with Rehabilitation Training and Emotional Counseling for Spasticity of Lower Limbs After Stroke
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    摘要:

    目的:观察综合疗法配合康复训练、情志疏导干预中风后下肢痉挛状态的临床效果。方法:将 82 例中风后下肢痉挛患者随机分为对照组 40 例与观察组 42 例,2 组入院后均给予西药治疗,并进行康复训练、情志疏导,在此基础上,对照组给予中药熏蒸治疗,观察组给予中药熏蒸联合艾灸治疗,2 组均观察治疗 4 周。治疗前、治疗 4 周后运用临床痉挛指数 (CSI) 量表评定肌痉挛程度,应用 Fugl-Meyer 运动功能量表评定肢体功能情况,以 Barthel 指数(BI)评定量表评价日常生活活动能力,应用脑卒中影响量表(SIS)评价生活质量。比较 2 组治疗后的临床疗效。结果:治疗后,观察组与对照组的临床疗效总有效率分别为 90.48%、72.50%,2 组比较,差异有统计学意义 (P<0.05)。观察组肌痉挛程度改善情况优于对照组 (P<0.05)。2 组Fugl-Meyer 评分、BI 评分均较治疗前上升,观察组 Fugl-Meyer 评分、BI 评分均高于对照组,差异均有统计学意义 (P<0.05)。2 组 SIS 移动能力、力量状况、记忆交流能力及情绪 4 个维度评分与治疗前比较均上升,观察组 4 个维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:采用综合疗法治疗中风后下肢痉挛状态,并配合有效的康复训练和情志疏导,疗效满意,有助于缓解肌痉挛程度,改善患者的肢体运动功能及日常生活活动能力,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the integrated comprehensive therapy combined with rehabilitation training and emotional counseling on spasticity of lower limbs after stroke. Methods:A total of 82 patients with spasticity of lower limbs after stroke were randomly divided into the control group and the observation group,40 and 42 cases in each group respectively. After admission, both groups were given western medicine, rehabilitation training and emotional counseling for treatment. On this basis,the control group was additionally treated with Chinese herbal fumigation,and the observation group was additionally treated with Chinese herbal fumigation and moxibustion. Both groups were observed for four weeks. Before treatment and after four weeks of treatment,the Clinical Spasticity Index(CSI) was used to evaluate the degree of muscle spasm;Fugl-Meyer Assessment Scale was used to evaluate limb function;Barthel Index(BI) was used to evaluate activities of daily living,and Stroke Impact Scale(SIS) was used to evaluate the quality of life. The clinical effect in the two groups was compared. Results: After treatment, the total effective rate was 90.48% in the observation group and 72.50% in the control group,the difference being significant(P<0.05). The improvement of muscle spasm in the observation group was better than that in the control group(P<0.05). The scores of Fugl-Meyer and BI in the two groups were increased when compared with those before treatment;and the above two scores in the observation group were higher than those in the control group, differences being significant(P<0.05). The scores of movement ability, strength, memory and communication ability and emotion of SIS in the two groups were increased when compared with those before treatment, and the scores of the above four dimensions in the observation group were higher than those in the control group,differences being significant(P<0.05). Conclusion: The integrated comprehensive therapy combined with rehabilitation training and emotional counseling,has a satisfactory effect on spasticity of lower limbs after stroke,which helps to relieve the degree of muscle spasm,and improve the motor function of limbs,activities of daily living ability and the quality of life.

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蓝晶晶,梁巧巧,吴悦.综合疗法配合康复训练、情志疏导治疗中风后下肢痉挛状态临床研究[J].新中医,2021,53(4):197-201

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  • 在线发布日期: 2021-02-27
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