推拿结合肌内效贴对脑卒中患者上肢及手功能障碍的影响

来源:用户上传      作者:张福鑫　　俞坤强　　马旭　　吴李秀　　周敏亚

　　[摘要] 目的 ^察推拿结合肌内效贴对脑卒中患者上肢及手功能障碍的影响。方法 选取2019年1月―2020年10月在本院治疗的脑卒中患者70例，随机分为对照组和观察组，每组各35例。对照组进行常规的康复治疗，观察组在对照组的基础上进行肌效贴结合推拿治疗。观察两组治疗前后视觉模拟量表（VAS）评分、Fugl-Meyer量表上肢部分（FMA-UE）、改良Barthel指数（MBI）及健康调查简表（SF-36）变化情况。结果 两组患者治疗前VAS、FMA-UE、MBI以及SF-36评分比较，差异无统计学意义（P>0.05），观察组治疗后VAS评分（1.83±0.62）分，低于对照组（2.80±0.90）分，FMA-UE评分（29.14±6.80）分、MBI评分（57.14±12.68）分、SF-36评分（66.71±13.23）高于对照组（24.26±6.18）分、（48.00±11.64）分、（58.86±12.43）分，差异有统计学意义（P<0.05）。结论 在常规康复训练的基础上进行推拿结合肌内效贴治疗，可以更好地减轻脑卒中患者的上肢的疼痛，促进上肢功能恢复，改善日常生活活动能力，提高其生活质量。
　　[关键词] 推拿;肌内效贴;脑卒中;上肢功能 ;日常生活活动能力
　　[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2022）09-0140-03
　　Effect of massage combined with kinesio taping on upper limb and hand dysfunction in stroke patients
　　ZHANG Fuxin YU Kunqiang MA Xu WU Lixiu ZHOU Minya
　　Department of Rehabilitation Medicine， the Second People's Hospital of Lishui in zhejiang Province， Lishui 323000， China
　　[Abstract] Objective To observe the effect of massage combined with kinesio taping on upper limb and hand dysfunction in stroke patients. Methods Seventy stroke patients treated in our hospital from January 2019 to October 2020 were randomly divided into the control group and the observation group， with 35 cases in each group. The control group was treated with routine rehabilitation， and the observation group was treated with kinesio taping combined with massage based on the control group. The changes of visual analog scale （VAS） score， Fugl-Meyer Assessment Upper Extremity Scale （FMA-UE）， modified Barthel index （MBI）， and Short Form Health Survey （SF-36） before and after treatment were observed. Results There was no significant difference in VAS， FMA-UE， MBI， and SF-36 scores before treatment between the two groups （P>0.05）. After treatment， the VAS score （0.970.18） in the observation group was lower than that in the control group （1.52±0.34）; the FMA-UE score （29.45±8.67）， MBI score （58.48±15.67） and SF-36 score （63.35±16.32） in the observation group were higher than （24.76±6.73）， （48.63±14.34） and （55.46±14.87） in the control group， and the differences were statistically significant （P < 0.05）. Conclusion Massage combined with kinesio taping based on routine rehabilitation training can better reduce the upper limb pain of stroke patients， promote the recovery of upper limb function， improve the activities of daily living and improve their quality of life.

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