Bobath法结合子午流注治疗脑卒中后上肢运动功能障碍的疗效观察

Observation of the Therapeutic Effect of Bobath Method Combined with Ziwu Liuzhu on Upper Limb Motor Dysfunction after Stroke

摘要: 目的：本研究基于Bobath法结合子午流注治疗缺血性中风(痰热腑实证)上肢运动功能障碍来探讨其临床疗效。方法：本院纳入符合标准的60例中风后肢体运动功能障碍的患者，并将其分为治疗组30例，对照组30例。进行“改善脑循环、抗血小板、控制血糖、稳定血压”等基础治疗。治疗组选用Bobath技术结合子午流注纳子法，对照组选用子午流注纳子法开穴时间进行针刺。治疗每日一次，共28天。患者治疗前和治疗28天后，用FMA、Barthel量表对患者日常生活能力进行临床疗效评价。结果：两组患者治疗后FMA、Barthel评分均有改善，灌肠组改善更为明显。组内、组间差异均具有统计学意义(P < 0.05)。结论：Bobath法结合子午流注治疗脑卒中后上肢运动功能障碍，不仅能改变患者上肢运动功能，还能提高患者的生活质量，疗效优于单一子午流注针灸治疗。

Abstract: Objective: This study aims to explore the clinical efficacy of the Bobath method combined with Ziwu Liuzhu (midnight-noon ebb-flow) in the treatment of upper limb motor dysfunction caused by ischemic stroke (phlegm heat organ syndrome). Method: Our hospital included 60 patients with post-stroke limb motor dysfunction who met the inclusion criteria and were randomly divided into two groups. Divided into a treatment group of 30 cases and a control group of 30 cases. Perform basic treatments such as improving cerebral circulation, antiplatelet therapy, controlling blood sugar, and stabilizing blood pressure. The treatment group used the Bobath technique combined with the Ziwu Liuzhu (midnight-noon ebb-flow) method for acupuncture, while the control group used the Ziwu Liuzhu (midnight-noon ebb-flow) method for acupuncture at the opening time. Treatment is given once a day for a total of 28 days. Before and after 28 days of treatment, the clinical efficacy of the patient’s daily living ability was evaluated using the FMA and Barthel scale. Result: After treatment, both groups of patients showed improvement in FMA and Barthel scores, with the enema group showing more significant improvement. The differences within and between groups were statistically significant (P < 0.05). Conclusion: The Bobath method combined with Ziwu Liuzhu (midnight-noon ebb-flow) can not only change the upper limb motor function of patients with upper limb motor dysfunction after stroke, but also improve the quality of life of patients. The curative effect is better than that of single Ziwu Liuzhu (midnight-noon ebb-flow) acupuncture and moxibustion.