李俐筠 练爱娥

【摘要】 目的：探讨药棒循经推按联合红外线照射在中风偏瘫肢体功能康复中的应用效果。方法：选取2017年5月-2019年11月桂林市中医医院收治的中风偏瘫患者150例作为研究对象，按随机数字表法分为甲、乙组，每组75例，两组患者均给予常规治疗护理及药棒循经推按瘫肢，甲组同时增加红外线照射患肢。观察并比较两组治疗后的神经功能缺损程度（NIHSS）、改良Barthel指数及临床效果。结果：治疗2周后，甲组NIHSS评分、改良Barthel指数评分均优于乙组，差异均有统计学意义（P<0.05）;甲组总有效率为96.00%，优于乙组的86.67%，差异有统计学意义（P<0.05）。结论：药棒循经推按联合红外线照射能有效促进中风偏瘫肢体康复，改善瘫肢功能，提高患者日常生活活动能力。

【关键词】 药棒循经推按 红外线 中风 偏瘫 患肢功能

Application of Medicine Stick Pushing and Pressing Along Meridians Combined with Infrared Irradiation in Rehabilitation of Limb Function of Stroke Hemiplegia/LI Liyun， LIAN Aie. //Medical Innovation of China， 2021， 18（34）： -164

[Abstract] Objective： To explore the application effect of medicine stick pushing and pressing along meridians combined with infrared irradiation in the rehabilitation of limb function of stroke hemiplegia. Method： A total of 150 patients with stroke hemiplegia treated in TCM Hospital of Guilin City from May 2017 to November 2019 were selected as the research objects， they were randomly divided into group A and group B， with 75 cases in each group. Patients in the two groups were given routine treatment and nursing and medicine stick pushing and pressing along meridians. Patients in group A were given infrared radiation at the same time. The NIHSS， modified barthel index and therapeutic effect of the two groups were observed and compared. Result： After 2 weeks of treatment， the NIHSS score and modified barthel index score of group A were better than those of group B， the differences were statistically significant （P<0.05）; the total effective rate of group A （96.00%） was better than group B （86.67%）， the difference was statistically significant （P<0.05）. Conclusion： Medicine stick pushing and pressing along meridians combined with infrared irradiation can effectively promote the rehabilitation of stroke hemiplegic limbs， improve the function of paralytic limbs， and improve the activities of daily living of patients.

[Key words] Medicine stick pushing and pressing along meridians Infrared Stroke Hemiplegia Function of paralytic limbs

First-author’s address： TCM Hospital of Guilin City， Guilin 541002， China

doi：10.3969/j.issn.1674-4985.2021.34.039

脑卒中是临床常见疾病，具有发病率高、致残率高、复发率高的特点，我国脑卒中的发病率为8.7%，并逐年上升，脑卒中后70%～80%的患者遗留不同程度的神经缺损和肢体功能残障[1-2]，而肢体运动功能障碍是影响脑卒中偏瘫患者生活质量和预后的关键因素之一[3-6]。因此，积极有效的干预方法可以最大程度地改善患者瘫肢功能障碍，改善患者生活质量，让患者更好地回归家庭。本研究应用药棒循经推按联合红外線照射辅助治疗中风后偏瘫肢体功能障碍，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年5月-2019年11月于桂林市中医医院脑病科住院，诊断为中风后肢体偏瘫患者150例作为研究对象。（1）纳入标准：①符合全国第四次脑血管病学术会议制定的《中国各类主要脑血管病诊断要点2019》，由头颅CT/MRI证实为脑梗死或脑出血[7]。……