| 摘要: |
| 目的：探讨益气活血舒筋法联合传统康复训练对脑梗死恢复期偏瘫患者手精细动作的影响。方法：将60例脑梗死恢复期偏瘫伴手精细动作障碍患者随机分为治疗组和对照组，每组各30例。对照组予以传统康复训练，治疗组在对照组基础上联合益气活血舒筋法治疗。2组均连续治疗4周。比较2组偏瘫患者手Lindmark评分、运动协调能力评分、感觉功能评分、手关节活动度及BI评分。结果：2组手Lindmark评分、运动协调能力评分、感觉功能评分、手关节活动度及BI评分治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P<0.01，P<0.05）。结论：益气活血舒筋法联合传统康复训练可有效改善脑梗死恢复期患者的手部运动障碍，具有临床推广应用价值。 |
| 关键词: 脑梗死 恢复期 中医药疗法 益气活血舒筋法 康复训练 手精细动作 |
| DOI： |
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| Effect of the Qi-tonifying，blood circulation-activating，and tendon-relaxing method combined with traditional rehabilitation training on hand fine movement in patients with hemiplegia in the recovery stage of cerebral infarction |
| HU De,LIU Yanqing |
| (1.Hunan Association of Rehabilitation of Disabled Persons，Changsha 410016，Hunan，China;Xiangya Boai Rehabilitation Hospital，Changsha 410100，Hunan，China) |
| Abstract: |
| Objective：To investigate the effect of the Qi-tonifying，blood circulation-activating，and tendon-relaxing method combined with traditional rehabilitation training on hand fine movement in patients with hemiplegia in the recovery stage of cerebral infarction.Methods：A total of 60 patients with hemiplegia and hand fine movement disorder in the recovery stage of cerebral infarction were enrolled and randomly divided into treatment group and control group，with 30 patients in each group.The patients in the control group were given traditional rehabilitation training，and those in the treatment group were treated with the Qi-tonifying，blood circulation-activating，and tendon-relaxing method in addition to the treatment in the control group.The course of treatment was 4 weeks for both groups.The two groups were compared in terms of hand Lindmark score，motor coordination ability score，sensory score，hand joint range of motion，and Barthel Index（BI）score.Results：Both groups had significant changes in hand Lindmark score，motor coordination ability score，sensory score，hand joint range of motion，and BI score after treatment，and there were significant differences in these indices between the two groups after treatment（P<0.01 or P<0.05）.Conclusion：The Qi-tonifying，blood circulation-activating，and tendon-relaxing method combined with traditional rehabilitation training can effectively improve hand fine movement disorder in patients in the recovery stage of cerebral infarction，and therefore，it holds promise for clinical application. |
| Key words: cerebral infarction recovery stage traditional Chinese medicine treatment Qi-tonifying,blood circulation-activating,and tendon-relaxing method rehabilitation training hand fine movement |
