针刺推拿对缺血性脑卒中复发患者体质因素及生存质量的影响

冯常武,卢杰*,张晓云,丁一

(黄石市中心医院，湖北 黄石 435000)

摘要：目的探讨针刺、推拿对缺血性脑卒中复发体质因素及生存质量的影响。方法选取2010年2月—2014年6月来我院康复科因脑卒中住院的患者268例。按照简单随机抽样的方法将患者分为针刺推拿治疗组(AM组)和常规康复训练组(R组)，采用分卷调查的方式检测针刺、推拿后对患者体质因素以及生存质量的影响。结果R组治疗后，瘀血体质以及痰湿体质均下降，同治疗前相比且具有显著性差异(P<0．05)，而平和体质、虚证体质却升高(P<0．05)；AM组治疗后，瘀血体质、痰湿体质以及痰湿体质均下降，同治疗前相比且具有显著性差异(P<0．05)，而平和体质、虚证体质却升高(P<0．05)；此外，AM组治疗后平和体质患者相对于R组具有显著性差异(P<0．05)。治疗后，R组在FMA积分以及SF-36(生命质量)积分均高于治疗前，差异具有统计学意义(P<0．05)；AM组FMA积分、MBI积分以及SF-36(生命质量)积分方面均高于治疗前(P<0．05)；此外，AM组FMA积分、MBI积分以及SF-36(生命质量)积分方面均高于R组。治疗后，R组湿热体质患者，评分明显下降(P<0．05)，而AM组5种体质因素患者，NIHSS评分均明显下降(P<0．05)；此外，AM组平和体质、瘀血体质以及痰湿体质患者经NIHSS评分均低于R组(P<0．05)。结论针刺、推拿对缺血性脑卒中复发体质因素具有明显的改善作用，能够明显提高患者生存质量和神经功能恢复状况。

关键词：缺血性脑卒中；针刺疗法；推拿疗法；体质因素；生存质量

DOI:10.13463/j.cnki.jlzyy.2015.11.028

中图分类号：R255.2文献标志码： A

基金项目:湖北省自然科学基金计划项目(2006ABA341)。

作者简介:冯常武(1974-)，男，硕士，主治医师，主要从事脊柱疾病及康复研究。

收稿日期:(责任编辑：张瑞彬2015-07-08)

*通信作者:卢杰，电话-13907238548

Acupuncture and massage on physical factors of ischemic stroke recurrence and quality of life

FENG Changwu, LU Jie*, ZHANG Xiaoyun, DING Yi

(Huangshi Central Hospital, Huangshi 435000, Hubei Province, China)

Abstract:Objective Acupuncture, massage on the impact of physical factors of ischemic stroke recurrence and quality of life.MethodsThe 268 cases of patients in mid-February 2010 to June 2014 to our hospital because of a stroke rehabilitation hospital.According to a simple random sampling method were divided into acupuncture and massage therapy group (AM group) and conventional rehabilitation group (R group), using sub-volume survey methods to detect acupuncture, physical factors and impact on patient quality of life after massage.ResultsBefore treatment, all kinds of R group and AM group the number of patients there was no significant difference (P> 0．05) recurrent physical factors.R group after treatment, blood and phlegm physical physique decreased, with significant differences (P<0．05) compared with pre-treatment and, while peace constitution, physical deficiency but increased (P<0．05); AM group therapy after bleeding physique, physical phlegm and dampness constitution decreased, as compared with the treatment before and has significant difference (P<0．05), while the peace constitution, physical deficiency but increased (P<0．05); in addition, after the AM group therapy in patients with respect to peace constitution R group has significant difference (P<0．05).Before treatment, the patients in each group FMA integration, MBI integration and SF-36 (quality of life) calculus no significant difference (P>0．05); after treatment, R group in the FMA integration and SF-36 (quality of life) are integral higher than before treatment, the difference was statistically significant (P<0．05); AM group FMA integration, MBI integration and SF-36 (quality of life) were higher than before treatment integral aspect (P<0．05); in addition, AM group FMA Points , MBI integration and SF-36 (quality of life) were higher than the R group calculus.Before treatment, the two groups of patients with a variety of physical factors of recurrence NIHSS score was no significant difference (P> 0．05); after treatment, R group, the patients body heat, scores decreased significantly (P<0．05), while the AM group five kinds of physical factors in patients , NIHSS scores were significantly decreased (P<0．05); in addition, AM group peaceful constitution, physique and physical fitness in patients with phlegm stasis by the NIHSS scores were lower than the R group (P<0．05).ConclusionAcupuncture and massage can improve recurrent physical factors of ischemic stroke and increase patients' quality of life and neurological functions significantly.

Keywords:ischemic stroke; acupuncture; massage;physical factors; quality of life

脑卒中是目前严重影响人类生活和健康的脑血流循环障碍性疾病，其发病率逐年上升[1]。现代研究显示，脑卒中复发率也呈逐年上升的趋势。而患者一旦再次复发，其预后更差、治愈率和病死率均高于首次发病[2]。现代研究显示，针刺、推拿对于脑卒中具有明显的改善脑部血流循环、降低脑组织中氧自由基等作用[3]。但是目前针刺、推拿对于脑卒中复发体质因素的影响以及后期的生存影响的研究较少。近年来，本院从事脑卒中的针刺、推拿治疗研究，取得一定的效果，现报道如下。

1资料与方法

1.1一般资料选取2010年2月—2014年6月我院康复科因脑卒中住院的患者268例。按……