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目的:应用改良Ashworth评价在现代康复运动疗法的基础上,配合眼针与局部中药方剂舒筋方外敷相结合,对脑血管病病人痉挛模式、患肢肌肉张力增高的治疗效果,为中西医结合治疗脑血管病患者肢体痉挛状态提供新的治疗手段和思路。方法:临床收集存在痉挛模式的脑血管病患者,采用康复运动疗法。并随机分为治疗组及对照组,治疗组采用眼针及舒筋方外敷治疗,对照组采用温针灸治疗。并在患者治疗前后,应用改良Ashworth对肢体肌肉张力的变化进行评分后进行统计学比较。结果:两组患者在治疗前Ashworth评级,差异无显著性意义(P>0.05),治疗后上、下肢Ashworth评级,两组比较差异有显著性意义(P<0.05)。结论:眼针配合舒筋方外敷对脑血管病病人患肢肌肉张力增高的治疗效果显著。
OBJECTIVE: To evaluate the therapeutic effect of modified Ashworth on the basis of modern rehabilitation exercise therapy combined with topical Chinese medicine Shujinfang for the treatment of patients with spasms of cerebrovascular disease and increased muscle tone of limbs The treatment of limb spasm in patients with cerebrovascular disease provides new treatment methods and ideas. Methods: Patients with cerebrovascular disease who had spasticity were collected clinically. Rehabilitation exercise therapy was used. The patients were randomly divided into treatment group and control group. The treatment group was treated with eye acupuncture and Shujinfang external application, while the control group was treated with warm acupuncture and moxibustion. Before and after the treatment of the patients, the modified Ashworth was used to score the change of muscle tone of the limbs and then compared statistically. Results: There was no significant difference in Ashworth scores between the two groups before treatment (P> 0.05). Ashworth scores of upper and lower limbs after treatment were significantly different between the two groups (P <0.05). Conclusion: Eye acupuncture combined with Shujinfang has a significant therapeutic effect on the increase of limb muscle tension in patients with cerebrovascular disease.