摘要
目的观察中医推拿联合镜像神经元理论康复训练对脑卒中偏瘫患者康复进程的影响。方法选取2017年4月—2019年1月期间张家港市中医医院收治的脑卒中偏瘫患者92例,按照随机数字表法分为观察组与对照组,每组各46例。对照组行镜像神经元理论康复训练,观察组在对照组的基础上联用中医推拿进行康复训练,均持续干预1个月。观察比较两组患者临床疗效,治疗前及治疗4周后血清超敏C反应蛋白(Hypersensitive C-reactive protein,hs-CRP)、同型半胱氨酸(Homocysteine,Hcy)、脂蛋白(Lipoprotein,Lp)水平,治疗第1天、第5天及第10天时上肢体运动功能评分(Fugl-Meyer motor function assessment,FMA)、日常生活能力(Activities of daily living,ADL)及臂部肌群张力情况,治疗前及治疗4周后焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)评分情况。结果治疗后观察组总有效率86.96%(40/46)明显高于对照组65.22%(30/46),差异有统计学意义(P<0.05)。治疗后两组患者hs-CRP、Hcy、Lp水平均较治疗前降低,差异有统计学意义(P<0.05);且观察组hs-CRP、Hcy、Lp水平明显低于对照组,差异有统计学意义(P<0.05)。两组患者治疗第5天、第10天时FMA、ADL评分明显高于治疗第1天,臂部肌群张力小于治疗第1天,差异有统计学意义(P<0.05),治疗第10天时FMA、ADL评分明显高于治疗第5天,臂部肌群张力小于治疗第5天,差异有统计学意义(P<0.05);观察组治疗第5天、第10天时FMA、ADL评分明显高于对照组同期,臂部肌群张力小于对照组同期,差异均有统计学意义(P<0.05)。治疗后两组患者SAS、SDS评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组SAS、SDS评分明显低于对照组,差异有统计学意义(P<0.05)。结论脑卒中后偏瘫患者行中医推拿联合镜像神经元理论康复训练效果优于单一使用镜像神经元理论康复训练,联合中医推拿可有效改善患者FMA、ADL评分,有效促进患者恢复。
Objective To observe the effect of traditional Chinese medicine(TCM)massage combined with rehabilitation training based on mirror neuron theory on the rehabilitation process of hemiplegic patients with cerebral stroke.Methods Ninty-two hemiplegic patients with cerebral stroke in Zhangjiagang Hospital of traditional Chinese medicine from April 2017 to January 2019 were included and randomly divided into an observation group and a control group,with 46 cases in each group.The control group received rehabilitation training based on mirror neuron theory,and the observation group received traditional Chinese medicine massage based on the control group.The intervention in the two groups lasted for 1 month.The clinical curative effects of the two groups were compared.The level of hypersensitive C-reactive protein(hs-CRP),homocysteine(Hcy),and lipoprotein(Lp)before treatment and after 4 weeks of treatment of patients in the two groups were compared.The Fugl-Meyer motor function assessment(FMA),activities of daily living(ADL),and arm muscle tension on the 1^(st),5^(th),and 10^(th) days of treatment in the two groups were observed.Thescores of self-ratinganxietyscale(SAS)and self-rating depression scale(SDS)before treatment and after 4 weeks of treatment of patients in the two groups were compared.Results After treatment,the total effective rate of 86.96%in the observation group was significantly higher than that of 65.22%in the control group(P<0.05).The levels of hs-CRP,Hcy,and Lp in the two groups were lower than those before treatment(P<0.05),and the levels of hs-CRP,Hcy,and Lp in the observation group were lower than those in the control group(P<0.05).The FMA and ADL scores on the 5^(th) and 10^(th) days of treatment were significantly higher than those on the 1^(st) day of treatment,and the arm muscle tension was lower than that on the 1^(st) day of treatment(P<0.05).The FMA and ADL scores on the 10^(th) day of treatment were significantly higher than those on the 5^(th) day of treatment,and the arm muscle tension was lower than that on the 5^(th) day of treatment(P<0.05).On the 5^(th) and 10^(th) days of treatment,the scores of FMA and ADL in the observation group were higher than those in the control group,whereas the arm muscle tension was lower than that in the control group(P<0.05).After treatment,thescores of SAS and SDS in the two groups significantly decreased(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion The effect of TCM massage combined with rehabilitation training based on mirror neuron theory is better than that of the single use of mirror neuron theory.The combination with TCM massage effectively improves the scores of FMA and ADL of hemiplegic patients with cerebral stroke and promotes the recovery of patients.
作者
钱佳岑
陆佳伟
刘敏洁
QIAN Jia-cen;LU Jia-wei;LIU Min-jie(Zhangjiagang Traditional Chinese Medicine Hospital,Zhangjiagang Jiangsu 215600)
出处
《世界中西医结合杂志》
2022年第9期1877-1880,1885,共5页
World Journal of Integrated Traditional and Western Medicine
基金
张家港市青年科技项目(ZJGQNKJ201719)。
关键词
中医推拿
镜像神经元理论
脑卒中
Traditional Chinese Medicine Massage
Mirror Neuron Theory
Cerebral Stroke
