目的:观察扶阳灸对脑卒中偏瘫患者肌痉挛、运动功能及日常生活活动能力(ADL)的改善作用。方法将120例气虚血瘀型脑卒中后肢体痉挛患者随机分为A组、B组和C组,每组40例。C组采用常规治疗,A组在C组基础上采用扶阳灸治疗,B组在C组基础上采用单纯火疗法治疗。观察3组治疗前后改良Ashworth评分、Fugl-Meyer评分及Barthel指数评分的改善情况。结果3组治疗1、2个月后上下肢改良Ashworth评分、Fugl-Meyer评分与Barthel指数评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。A组治疗1、2个月后上下肢改良Ashworth评分、Fugl-Meyer评分和Barthel指数评分与B组和C组比较,差异均具有统计学意义(P<0.05)。B组治疗1、2个月后上下肢改良Ashworth评分、Fugl-Meyer评分和Barthel指数评分与C组比较,差异均具有统计学意义(P<0.05)。结论扶阳灸能有效改善脑卒中后肢体痉挛,促进患者运动功能的恢复。
Objective To observe the effect of yang-supplementing moxibustion in improving the muscular spasm, motor function, and activities of daily living (ADL) of patients with post-stroke hemiplegia.Method Totally 120 patients with post-stroke limb spasm due to qi deficiency and blood stagnation were randomized into group A, B, and C, 40 cases in each group. Group C was intervened by conventional treatment, group A was by yang-supplementing moxibustion in addition to the conventional treatment, and group B was by fire therapy in addition to the conventional treatment. The modified Ashworth Scale (MAS), Fugl-Meyer Scale (FMS), and Barthel Index (BI) were observed before and after intervention.Result Respectively after 1-month and 2-month treatment, the MAS, FMS, and BI scores were significantly different from that before intervention in the 3 groups (P<0.01). After 1-month and 2-month treatment, the MAS, FMS, and BI scores in group A were significantly different from that in group B and group C (P<0.05), and the scores in group B were significantly different from that in group C (P<0.05).Conclusion Yang-supplementing moxibustion can effectively improve the post-stroke limb spasm, and can promote the recovery of motor function.