中医养生功法五禽戏对中老年人中风偏瘫患者运动功能的影响

汤林侠 龚博敏 施振文

[摘要] 目的 探讨中医养生功法五禽戏锻炼对中老年人中风偏瘫患者运动功能的影响。 方法 选取2015年11月～2016年8月上海中医药大学附属市中医医院脑病科收治的中风偏瘫患者60例为研究对象，按照随机数字表法将其分为实验组和对照组，每组30例。实验组接受常规康复训练，并进行规律性中医养生功法五禽戏锻炼，每次练习1 h，每周5次，共20周；对照组接受肌力增强及被动關节活动等常规康复训练，每天1次，每周5次，但不参加中医养生功法五禽戏的集体练习和个人有计划的运动康复活动。分别于治疗前、治疗20周采用Fugl-Meyer运动功能评分量表（FMA）进行运动功能的比较。 结果 两组治疗前FMA评分差异无统计学意义（P > 0.05）；治疗20周，两组FMA评分均较治疗前明显提高，且实验组FMA评分明显高于对照组，差异有统计学意义（P < 0.05）。 结论 改良过的五禽戏能显著提高中风偏瘫患者的运动功能，适合中风偏瘫患者习练。

[关键词] 中风；偏瘫；五禽戏；运动功能

[中图分类号] R277 [文献标识码] A [文章编号] 1673-7210（2018）09（a）-0112-04

[Abstract] Objective To investigate the effect of qigong practice wuqinxi on the motor function of elderly patients with stroke hemiplegia. Methods Sixty elderly patients with stroke hemiplegia admitted to Encephalopathy Department of Shanghai Municipal Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from November 2015 to August 2016 were selected as research objects， and they were assigned to experimental group and control group by random number table method， with 30 cases in each group. The experimental group were given routine rehabilitation training and organized health qigong wuqinxi， once a day， 1 hour each time， 5 times each week， for 20 weeks； the control group received routine rehabilitation training， such as enhancing the muscle， passive joint motion， and so on， once a day， 5 times each week， but the patients in the control group did not receive the group training of qigong practice wuqinxi or individual planned exercise rehabilitation. The motor function was compared by Fugl-Meyer assay （FMA） method before treatment and after treatment for 20 weeks. Results There were no significant differences of FMA score between the two groups before treatment （P > 0.05）. After treatment for 20 weeks， the FMA scores in both groups were significantly higher than those before treatment， which of experimental group were significantly higher than those in the control group， with statistically significant differences （P < 0.05）. Conclusion The modified wuqinxi can significantly improve the motor function of elderly patients with stroke hemiplegia， which is fit for the patients to exercise.

[Key words] Stroke； Hemiplegia； Wuqinxi； Motor function

中风是中老年人常见的多发病，中风后遗症是目前国内外心脑血管疾病中的一大难题，中风预后多存在神经功能损伤和不同级别的肌力损伤，直接影响患者的肢体功能及生活质量[1]。中风偏瘫是中老年人脑血管常见疾病之一，中国每年新增中风患者约200万人，并以每年近9%的速率上升。中风导致的偏瘫是威胁中老年身心健康的重要疾病，中风偏瘫导致中老年患者运动障碍、日常生活能力下降，严重影响中老年人生活质量，同时给家庭和社会带来沉重负担。