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目的探讨综合康复疗法在脑卒中后上肢痉挛治疗中的应用效果。方法选取2012年6月—2014年6月环江县川山镇中心卫生院收治的80例脑卒中后上肢痉挛患者,随机分为观察组和对照组,各40例。对照组患者给予推拿治疗,观察组患者在对照组基础上给予生物反馈治疗、中药熏洗等综合康复疗法,比较两组患者治疗前后肌张力(Ashworth)评分、运动功能(Fugl-Meyer)评分。结果治疗前两组患者Ashworth评分、Fugl-Meyer评分比较,差异无统计学意义(P>0.05);治疗后观察组Ashworth评分、Fugl-Meyer评分高于对照组,差异有统计学意义(P<0.01)。结论综合康复疗法在卒中后上肢痉挛中的应用效果确切,有助于患者肢体功能恢复,改善痉挛症状。
Objective To explore the effect of comprehensive rehabilitation therapy in the treatment of upper extremity spasticity after stroke. Methods From June 2012 to June 2014, 80 patients with upper extremity spasticity who were admitted to Chuanshan Town Central Hospital of Huanjiang County were randomly divided into observation group and control group, with 40 cases in each group. The patients in the control group were treated with massage. The patients in the observation group were given comprehensive rehabilitation therapy such as biofeedback and traditional Chinese medicine fumigation. The Ashworth score and Fugl-Meyer score were compared between the two groups before and after treatment. Results The Ashworth score and Fugl-Meyer score of the two groups before treatment had no significant difference (P> 0.05). After treatment Ashworth score and Fugl-Meyer score of the observation group were higher than those of the control group (P < 0.01). Conclusion Comprehensive rehabilitation therapy in upper limb spasticity after stroke has the exact effect, helps to restore limb function and improve the symptoms of spasm.