关键词: 卒中, 痉挛, 穴位疗法, 温经通络, 中医护理学

Abstract:

Objective To evaluate the effects of Sizi Powder with salt hot-ironing on meridians for spastic hemiplegia in convalescent stroke patients.Methods Totally 86 patients were randomly divided into two groups,namely,the experimental group and the control group with 43 cases in each group. Patients in the experimental group received routine treatment,nursing,and rehabilitation,plus Sizi Powder with salt hot-ironing treatment,whereas the control group only received routine treatment. Hot-ironing treatment was applied for 30 minutes per day,5 days per week for 4 weeks. The spasticity and motor function were measured at pretest,2 weeks and 4 weeks after intervention by the Modified Ashworth Scale（MAS）,Compopsite Spasticity Scale（CSS）,and simplify Fugl-Meyer Assessment Scale（FMA）.Results Compared with pretest and 4 weeks after intervention,the scores of MAS,CSS and FMA in the experimental group were significantly improved（P<0.01）. The effective rate of spasticity improvement in upper limb and lower limb in the experimental group were significantly higher than that in the control group （P<0.05）. Repeated measurements analysis of variance showed that the main effect of time was statistically significant （P<0.01） in the score of CSS and scores for each dimension,the interaction effect of intervention and time were statistically significant（P<0.01） in the CSS score and tendon reflex. The main effect of time and the interaction effect of groups and time were statistically significant （P<0.01） in the score of FMA.Conclusion Sizi Powder with salt hot-ironing on meridians for spastic hemiplegia in stroke patients may have effects on spasticity to some extent,and improve patients’ motor function.

Key words: Stroke, Spasm, Acupoint Therapy, Warm Meridian Dred Collateral, Nursing（TCM）