颅内血管介入联合推拿对缺血性脑卒中患者短期康复效果的影响OA
Effects of Tuina Combined with Conventional Rehabilitation on Short-Term Recovery in Patients with Ischemic Stroke After Intracranial Endovascular Intervention
目的 分析接受颅内血管介入术的缺血性脑卒中患者术后开展推拿对其短期康复效果的影响.方法 回顾性纳入 2022 年 1 月至 2024 年 6 月于郑州市第六人民医院接受颅内血管介入治疗并完成 6 周康复随访的 60 例缺血性脑卒中患者,按照康复方案分为对照组(以 Bobath 理念为基础的常规康复训练)与观察组(常规康复联合推拿)各 30 例.分别在康复开始时(T0)、治疗 3 周后(T1)及治疗 6 周后(T2)评估 NIHSS 评分、改良 Ashworth 量表(MAS)评分、FIM运动评分,并记录随访期间不良事件.结果 T2 时,观察组MAS评分低于对照组,差异有统计学意义(P＜0.05);其余指标(基线资料、各时间点 NIHSS 评分及 FIM 运动功能评分)组间比较,差异均无统计学意义(P＞0.05).重复测量方差分析显示,NIHSS、MAS 及 FIM 运动功能评分的时间效应及交互效应均有统计学意义(P＜0.05),组间效应均无统计学意义(P＞0.05).结论 常规康复联合推拿与颅内血管介入术后缺血性脑卒中患者 6 周内神经功能及肌张力改善轨迹相关,但未观察到 FIM 运动功能终末评分的组间优势.两组不良事件发生率未见统计学差异,相关结果仍需进一步前瞻性研究验证.
Objective To investigate the effects of postoperative Tuina on short-term rehabilitation outcomes in patients with ischemic stroke undergoing intracranial endovascular intervention.Methods A total of 60 patients with ischemic stroke who underwent intracranial endovascular intervention at Zhengzhou Sixth People's Hospital from January 2022 to June 2024 and completed 6 weeks of rehabilitation follow-up were retrospectively included.According to the rehabilitation regimen,patients were divided into a control group(conventional rehabilitation training based on the Bobath concept)and an observation group(conventional rehabilitation combined with Tuina),with 30 patients in each group.The National Institutes of Health Stroke Scale(NIHSS),Modified Ashworth Scale(MAS),and Functional Independence Measure(FIM)motor scores were assessed at the start of rehabilitation(T0),after 3 weeks of treatment(T1),and after 6 weeks of treatment(T2).Adverse events during follow-up were also recorded.Results At T2,the MAS score was lower in the observation group than in the control group(P＜0.05).No statistically significant between-group differences were observed in the other indicators,including baseline characteristics,NIHSS scores,and FIM motor scores at any assessment time point(P＞0.05).Repeated-measures analysis of variance showed significant time effects and group-by-time interaction effects for NIHSS,MAS,and FIM motor scores(P＜0.05),whereas the between-group main effects were not statistically significant(P＞0.05).Conclusion Conventional rehabilitation combined with Tuina was associated with the trajectories of neurological function and muscle tone improvement during the first 6 weeks after intracranial endovascular intervention in patients with ischemic stroke;however,no between-group advantage was observed in the final FIM motor score.No statistically significant difference in the incidence of adverse events was observed between the two groups.These findings require further validation in prospective studies.
杜朝阳;李龙飞
郑州市第六人民医院 神经外科,河南 郑州 450015郑州市第六人民医院 神经外科,河南 郑州 450015
缺血性脑血管病颅内血管介入治疗推拿神经功能肌张力
ischemic cerebrovascular diseaseintracranial endovascular interventionTuinaneurological functionmuscle tone
《临床研究》 2026 (10)
86-89,4
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