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）

摘要：

【目的】探讨四子散加粗盐循经热熨对脑卒中恢复期痉挛性偏瘫患者的影响。【方法】使用随机数字表法将86例患者分为试验组和对照组,各43例,两组均接受常规治疗、护理和康复训练。在此基础上,试验组施予四子散加粗盐循经热熨,每天1次,每次30 min,每周5次,干预4周。观察干预前、干预2周后和干预4周后痉挛程度及运动功能的变化。【结果】干预4周后,试验组上下肢痉挛程度、综合痉挛量表得分、肢体运动功能评分较干预前均显著改善（P<0.01）;干预4周后,试验组上下肢痉挛程度改善有效率均高于对照组,差异具有统计学意义（P<0.05）。重复测量方差分析结果显示,综合痉挛量表总分及各维度得分的时间效应有统计学意义（P<0.01）,综合痉挛量表总分与腱反射得分的时间效应与处理效应的交互作用有统计学意义（P<0.01）;上下肢肢体运动功能评分的时间效应、处理效应与时间效应的交互作用有统计学意义（P<0.01）。【结论】四子散加粗盐循经热熨在一定程度上可能改善脑卒中痉挛性偏瘫患者的肢体痉挛程度,提高患者的运动功能。

关键词: 卒中, 痉挛, 穴位疗法, 温经通络, 中医护理学