| 余秀凤,吴俊叶,胡飞,等.温针灸联合平衡舒筋手法推拿对脑卒中偏瘫病人运动功能及肌力的影响[J].安徽医药,2025,29(3):582-585. |
| 温针灸联合平衡舒筋手法推拿对脑卒中偏瘫病人运动功能及肌力的影响 |
| Impacts of warming acupuncture and moxibustion combined with balanced tendon relaxing manipulation on motor function and muscle strength of patients with stroke hemiplegia |
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| DOI：10.3969/j.issn.1009-6469.2025.03.030 |
| 中文关键词: 卒中 温针灸 推拿 偏瘫 运动功能 肌力 |
| 英文关键词: Stroke Warming acupuncture and moxibustion Massage Hemiplegia Motor function Muscle strength |
| 基金项目:武汉市医学科研项目( WZ20Q06) |
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| 中文摘要: |
| 目的探究脑卒中偏瘫病人采用温针灸联合平衡舒筋手法推拿干预的治疗效果。方法 2021年 1月至 2022年 6月将武汉市第三医院确诊为脑卒中的 90例偏瘫病人按照随机抽样法分成对照组( n=45)与联合组( n=45)，对照组病人给予常规治疗结合温针灸治疗，联合组在对照组的基础上联合平衡舒筋手法推拿治疗。对比两组治疗效果、肢体运动功能(肢体运动能力、肢体平衡能力)、肌力水平、生活自理能力和生活质量情况。结果治疗后，联合组病人治疗总有效率 93.33%(42/ 45)显著高于对照组 75.56%(34/45)(P<0.05)；两组肢体运动 Fugl-Meyer功能评定量表( FMA)、 Berg平衡量表( BBS)、英国医学研究委员会( MRC)评分均升高，联合组高于对照组( P<0.05)；两组改良 Barthel指数评定量表( MBI)、脑卒中专用生活质量量表( SS-QOL)评分均升高，联合组高于对照组( P<0.05)。结论温针灸联合平衡舒筋手法推拿治疗脑卒中偏瘫病人效果显著，可明显改善病人肢体运动能力和平衡能力，促进肌力水平恢复，提高生活自理能力和生活质量。 |
| 英文摘要: |
| Objective To explore the therapeutic effect of warming acupuncture and moxibustion combined with balanced tendon re-laxing manipulation intervention on patients with stroke hemiplegia.Methods Ninety patients with hemiplegia diagnosed as stroke inWuhan Third Hospital from January 2021 to June 2022 were randomly grouped into a control group (n=45) and a combined group (n= 45). The patients in the control group were treated with warming acupuncture and moxibustion, and the combined group was treatedwith balanced tendon relaxing manipulation on the basis of warming acupuncture and moxibustion. The treatment effect, limb motorfunction [Fugl-Meyer Assessment (FMA) Scale, Berg Balance Scale (BBS)], Medical Research Council (MRC) muscle strength level, self-care ability and quality of life were compared between the two groups.Results After treatment, the total effective rate of the com-bined group was 93.33% (42/45), which was significantly higher than 75.56% (34/45) of the control group (P<0.05); The Fugl-Meyer as-sessment (FMA), Berg balance scale (BBS) and British Medical Research Council (MRC) scores of limb movement in the two groupswere increased, and the scores in the combined group were higher than those in the control group (P<0.05); The modified Barthel index (MBI) and stroke specific quality of life (SS-QOL) scores of the two groups were increased, and the scores of the combined group were higher than those of the control group (P<0.05).Conclusion Warming acupuncture and moxibustion combined with balanced tendonrelaxing manipulation has an obvious effect on patients with stroke hemiplegia, which can obviously improve their limb movement abil-ity and balance ability, promote the recovery of muscle strength, and improve self-care ability and quality of life. |
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