主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (2): 25-29.doi: 10.3969/j.issn.2095-6606.2021.02.006

• 临床研究 • 上一篇    下一篇

易-和康复技术改善缺血性中风痉挛性偏瘫随机对照研究*

金贺1, 郑斌2, 陈红1, 王雅惠3, 韩笑1, 江澜4, 张勇1, 耿花蕾3, 王月3, 邹忆怀1#   

  1. 1 北京中医药大学东直门医院 北京 100700;
    2 北京朝阳医院;
    3 北京中医药大学;
    4 北京协和医院
  • 收稿日期:2020-09-21 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #邹忆怀,男,教授、主任医师,博士生导师,E-mail:zouyihuai2004@163.com
  • 作者简介:金贺,男,在读博士生
  • 基金资助:
    *北京市科技计划课题(No.Z141107002514145)

Effects of Facility-balance rehabilitation on spastic hemiplegia after ischemic stroke*

Jin He1, Zheng Bin2, Chen Hong1, Wang Yahui3, Han Xiao1, Jiang Lan4, Zhang Yong1, Geng Hualei3, Wang Yue3, Zou Yihuai1#   

  1. 1 Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700;
    2 Beijing Chaoyang Hospital, Capital Medical University;
    3 Beijing University of Chinese Medicine;
    4 Peking Union Medical College Hospital
  • Received:2020-09-21 Online:2021-03-30 Published:2021-03-30

摘要: 目的 观察易-和康复技术改善缺血性中风后痉挛性偏瘫的临床疗效。方法 将171例缺血性中风后痉挛性偏瘫的患者,通过中央随机系统按2∶1比例将患者随机分为治疗组114例、对照组57例。其中,治疗组脱落17例,完成病例观察97例,脱落率为14.9%;对照组脱落8例,完成病例观察49例,脱落率为14.0%。治疗组采用易-和康复技术。对照组采用Bobath康复技术。采用Brunnstrum评价量表评价患者肢体改善程度,观察患侧肢体运动功能评级。结果 对2组左上肢4个时间点运动功能评级行广义估计方程检验,参数估计结果显示:①组间比较结果:Wald χ2=5.244,P<0.05,组间差异有统计学意义,2种疗法疗效不同,治疗组疗效优于对照组;②重复测量时间比较结果示:Waldχ2=44.313,P<0.05,时间差异有统计学意义,治疗在不同时间的效果不同。对2组右上肢4个时间点运动功能评级行广义估计方程检验,参数估计结果显示:①组间比较结果:Waldχ2=9.563,P<0.05,组间差异有统计学意义,2种疗法疗效不同,治疗组疗效优于对照组;②重复测量时间比较结果:Waldχ2=44.313,P<0.05,时间差异有统计学意义,治疗在不同时间点的效果不同。分别对2组左下肢、右下肢4个时间点运动功能评级行广义估计方程检验,参数估计结果显示组间差异均无统计学意义。在治疗期间未观察到与治疗相关的严重不良事件。结论 2种康复技术均可有效提高患者的肢体功能,易-和康复技术更有助于促进缺血性中风患者上肢的分离运动。

关键词: 中医康复技术, Bobath康复技术, 中风病康复, 缺血性中风痉挛性偏瘫

Abstract: Objective To observe the clinical efficacy of Facility-balance rehabilitation on spastic hemiplegia after ischemic stroke. Methods A total of 171 patients with spastic hemiplegia after ischemic stroke were randomly assigned to the intervention group (n=114) and control group (n=57) according to the proportion of 2∶1 in the central random system. Brunnstrum rating was used to evaluate and compare the efficacy. Results The efficacies of the two therapies were analyzed by generalized estimation equation. Main results of left upper limb were listed as follows: ① results of inter group comparison: Wald χ2=5.244, P<0.05; ② comparison results of repeated measurement time: Wald χ2=44.313, P<0.05. Main results of right upper limb: ① results of inter group comparison: Wald χ2=9.563, P<0.05; ② comparison results of repeated measurement time: Wald χ2=44.313, P<0.05. No serious adverse events were found. Conclusions The two rehabilitation techniques can effectively improve the limb function of patients, and Facility-balance rehabilitation technology is more helpful to promote the upper limb separation movement of patients with ischemic stroke, which is safe and has no side effects.

Key words: traditional Chinese medicine rehabilitation technology, Bobath rehabilitation technology, stroke rehabilitation, limb spasm after ischemic stroke

中图分类号: 

  • R247.9