李先进王瑾茜（.海南省海口市人民医院，海南海口5700；.湖南中医药大学，湖南长沙4008）

参芪复瘫汤联合平衡舒筋手法治疗中风后手痉挛的临床观察*

李先进1王瑾茜2
（1.海南省海口市人民医院，海南海口571100；2.湖南中医药大学，湖南长沙410208）

目的观察参芪复瘫汤联合平衡舒筋手法治疗缺血性中风后手痉挛气虚血瘀证的临床疗效。方法将140例中风后手痉挛患者随机分为治疗组和对照组，各70例。两组均予以脑梗死常规治疗，对照组配合康复训练，治疗组配合平衡舒筋手法并口服参芪复瘫汤。结果治疗2个月后，两组肢体活动功能均较治疗前明显改善，但治疗组F波较对照组波幅及潜伏期降低、次数减少（P＜0.05或P＜0.01）；治疗组神经功能缺损评分（NIHSS）积分明显低于对照组，上肢功能评分明显高于对照组，总体疗效也优于对照组（P＜0.01）。结论参芪复瘫汤联合平衡舒筋手法能有效地改善中风后患者手痉挛神经肌肉传导，恢复肢体活动功能，可进一步临床推广应用。

缺血性中风手痉挛参芪复瘫汤平衡舒筋手法

【Abstract】Objective：To observe the effects of Shenqi paralysis recovery Decoction and balance and tendons manipulation on chirismus after stroke.M ethods：140 patients were random ly divided into the treatment group and the control group，70 cases in each.Routine treatment was prescribed in both group，and rehabilitation was added in the control group while Shenqi paralysis recovery Decoction and balance and tendonsmanipulation were added in the treatment group.Results：After twomonths of treatment，motor function of limbs in both groupswas improved.Compared with the control group，minimum latency，amplitude and frequency of F-wavewere lower（P＜0.05 or P＜0.05），and the NIHSS scoreswas lower.Fugl-Meyer assessmentwas higher，therapeutic effectwas better in the treatment group（P＜0.01）.Conclusion：Shenqi paralysis recovery Decoction and balance and tendons manipulation can improve neuromuscular transmission and recovermotor function of limbs，which can be popularized and applicated in clinical use.

【Key words】Ischemic stroke；Chirismus；Shenqiparalysis recovery Decoction；Balance and tendonsmanipulation

缺血性中风具有高发病率、致残率及复发率等特点，严重威胁中老年人的生命健康。中风后痉挛偏瘫状态相当于中医学中“偏枯”“偏身废用”“不遂”，多表现为四肢关节肌肉拘急、收缩、伸屈活动不利，但不伴或较少伴有肌肉萎缩。当前西医学针对本病依然以对症支持治疗为主，难以获得令人满意的临床疗效。中医药在本病的治疗中有明显的特色和优势，能显著改善中风后遗症、提高患者生活质量，可为中风后肢体功能恢复提供有效可靠的治疗途径［1］。……