[1]屈玉华,范润平,王红艳,等.循经感传扶阳灸对老年缺血性脑卒中恢复期痉挛性偏瘫的影响[J].军事护理,2023,40(10):1-4.[doi:10.3969/j.issn.2097-1826.2023.10.001]
　QU Yuhua,FAN Runping,WANG Hongyan,et al.Effect of Yang-supplementing Moxibustion of Propagated Sensation Along Meridian on Spastic Hemiplegia Treatment in Elderly Patients with Ischemic Stroke at Convalescence[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):1-4.[doi:10.3969/j.issn.2097-1826.2023.10.001]
点击复制

循经感传扶阳灸对老年缺血性脑卒中恢复期痉挛性偏瘫的影响
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年10期
页码:
1-4
栏目:
论著
出版日期:
2023-10-15

文章信息/Info

Title:
Effect of Yang-supplementing Moxibustion of Propagated Sensation Along Meridian on Spastic Hemiplegia Treatment in Elderly Patients with Ischemic Stroke at Convalescence
文章编号:
2097-1826(2023)10-0001-04
作者:
屈玉华1; 2; 范润平2; 王红艳3; 陈凤鸣2
(1.成都中医药大学 护理学院,四川 成都 610075; 2.成都中医药大学附属医院 肛肠科,四川 成都 610075; 3.四川护理职业学院 科研处,四川 成都 610100)
Author(s):
QU Yuhua1; 2; FAN Runping2; WANG Hongyan3; CHEN Fengming2
(1.School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China; 2.Department of Anorectum,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China; 3.Scientific Research Office,Sichuan Nursing Vocational College,Chengdu 610100,Sichuan Province,China)
关键词:
循经感传;  扶阳灸;  缺血性脑卒中;  痉挛性偏瘫
Keywords:
propagated sensation along meridian;  Yang-supplementing moxibustion;  cerebral ischemic stroke;  spastic hemiplegia
分类号:
R473.54
DOI:
10.3969/j.issn.2097-1826.2023.10.001
文献标志码:
A
摘要:
目的 探讨循经感传扶阳灸对老年缺血性脑卒中恢复期患者痉挛性偏瘫的影响,为改善其生活质量提供临床依据。方法 2021年4月至2022年8月,采用便利抽样法选择某院住院治疗的痉挛性偏瘫患者120例为研究对象。以随机数字表法将其分为A组(对照组)、B组(传统灸法组)、C组(循经感传扶阳组),各组均40例,治疗8周。采用改良Ashworth量表(modified Ashworth scale,MAS)、综合痉挛量表(compopsite spasticity scale,CSS)、四肢简化Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale,FMA)、改良Barthel指数评定量表(modified Barthel index,MBI)比较各组患者治疗前、治疗4周及8周后肢体的痉挛程度、运动功能、日常生活活动能力,并观察其安全性。结果 干预第4及8周时,三组患者各项评分均优于干预前,差异均有统计学意义(均P<0.05)。各项得分的干预主效应及交互效应有统计学意义(均P<0.05),且时间效应亦均有统计学意义(均P<0.05)。3组患者治疗部位皮肤均无异常。结论 循经感传扶阳灸可缓解脑卒中患者肢体痉挛程度,提高运动能力,值得推广。
Abstract:
Objective To explore the effects of Yang-supplementing Moxibustion of Propagated Sensation along Meridian on spastic hemiplegia in elderly patients with ischemic stroke at convalescence,and to provide clinical basis for improving the quality of life.Methods From April 2021 to August 2022,120 patients with spastic hemiplegia who were hospitalized in a hospital were selected as the research objects by the convenience sampling method.According to the random number table method,the patients were divided into group A(control group),group B(traditional moxibustion group)and group C(Yang-supplementing Moxibustion of Propagated Sensation along Meridian group),40 cases in each group,and the treatment was given for 8 weeks.The modified Ashworth Scale(MAS),Compopsite Spasticity Scale(CSS),and Fugl-Meyer Assessment Scale(FMA)and modified Barthel Index(MBI)were used to compare the degree of limb spasticity,motor function and activities of daily living of the 3 groups before treatment,4 weeks and 8 weeks after treatment,and to observe the safety.Results At the 4th and 8th week of intervention,the scores were better than those before intervention,and the differences were statistically significant(all P<0.05).The main effect and interaction effect of intervention in the scores were statistically significant(all P<0.05),and the time effect was also statistically significant(all P<0.05).The skin at the treatment area of patients in the 3 groups was normal.Conclusion Yang-supplementing Moxibustion of Propagated Sensation along Meridian for spastic hemiplegia in stroke patients can relieve limb spasticity and improve motor ability in stroke patients,which is worthy of promotion.

参考文献/References:

[1] 徐博然,陈惠君.步态运动想象疗法对脑卒中偏瘫患者步行功能的影响[J].解放军护理杂志,2019,36(5):16-20.
[2] CABANAS-VALDE S R,CALVO-SANZ J,URRU TIA G,et al.The effectiveness of extracorporeal shock wave therapy to reduce lower limb spasticity in stroke patients:a systematic review and meta-analysis[J].Top Stroke Rehabil,2020,27(2):137-157.
[3] 李力军.扶阳灸对中风后遗症偏瘫患者运动功能及肢体痉挛的影响[J].医学理论与实践,2019,32(10):1506-1507.
[4] 张华文.扶阳灸联合运动整复疗法对中风后痉挛性偏瘫患者肢体痉挛及功能康复的影响[J].医疗装备,2021,34(3):62-63.
[5] 曹艺萌.针刺激发循经感传治疗急性缺血性中风后上肢运动障碍的临床疗效观察[D].天津:天津中医药大学,2021.
[6] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J].中华神经科杂志,2019,52(12):994-1005.
[7] 谈太鹏,张缙.对张缙教授二十四式单式手法之循、摄二法的初步研究[J].黑龙江中医药,2015,44(2):54.
[8] BOHANNON R W,SMITH M B.Interrater reliability of a modified ashworth scale of muscle spasticity[J].Phys Ther,1987,67(2):206-207.
[9] 魏鹏绪.关于改良Ashworth量表的探讨[J].中国康复医学杂志,2014,29(1):67-68.
[10]LEVIN M F,HUI-CHAN C.Are H and stretch reflexes in hemiparesis reproducible and correlated with spasticity?[J].J Neurol,1993,240(2):63-71.
[11]燕铁斌,许云影.综合痉挛量表的信度研究[J].中国康复医学杂志,2002,17(5):263-265.
[12]高谦,卓大宏.一种新的脑卒中患者运动功能评测方法──简化Fugl-Meyer运动功能评测表的制订[J].中国康复医学杂志,1994,9(6):244-249.
[13]李小峰,陈敏.改良Barthel指数评定量表的设计与应用[J].护理研究,2015,29(13):1657-1658.
[14]李一铭,娄蒙萍,周鑫,等.扶阳理论在缺血性脑卒中治疗中的应用[J].中华中医药杂志,2021,36(10):6048-6051.
[15]牟月.电鍉针循经感传治治疗原发性三叉神经痛的临床研究[D].哈尔滨:黑龙江省中医药科学院,2017.

备注/Memo

备注/Memo:
【收稿日期】2023-02-08【修回日期】2023-08-23
【基金项目】国家重点研发计划项目(2018YFC2002402); 四川省干部保健科研课题(川干研2021-503)
【作者简介】屈玉华,硕士在读,主管护师,电话:028-87765347
【通信作者】陈凤鸣,电话:028-87740695
更新日期/Last Update: 2023-10-15