目的 探究调阴和阳针法联合Bobath疗法对中风后痉挛性瘫痪（spastic paralysis after stroke，SPAS）患者痉挛程度及运动功能的影响。方法 回顾性选取2024年2月至2026年2月就诊于我院的102例SPAS患者，按照治疗方案分为对照组、研究组，各51例。对照组采用Bobath疗法治疗，研究组采用调阴和阳针法联合Bobath疗法治疗，均治疗4周。比较两组临床疗效、治疗前后中医证候积分、肢体痉挛程度[改良Ashworth分级（MAS）]、相关量表[Fugl－Meyer运动功能量表（FMA）、功能独立性量表（FIM）、Berg平衡量表（BBS）、改良Barthel指数（MBI）]评分、不良反应发生情况。结果 研究组愈显率、总有效率均高于对照组（P＜0.05）；研究组治疗4周后半身不遂、头晕目眩、肢体麻木或手足拘急、舌强言謇、口舌歪斜积分低于对照组（P＜0.05）；研究组治疗4周后MAS评分低于对照组（P＜0.05）；研究组治疗4周后FMA、FIM、BBS、MBI评分高于对照组（P＜0.05）；两组均无严重不良反应发生。结论 采用调阴和阳针法联合Bobath疗法联合治疗SPAS患者可有效减轻临床症状及痉挛程度，提高疗效，且有利于促进患者运动功能、平衡能力及生活能力恢复，安全性良好。

目的 探讨电针联合低频电刺激对中风后上肢弛缓瘫患者上肢功能重建的影响。方法 选择2019年10月—2022年2月期间我院收治的100例中风后上肢弛缓瘫患者,按随机数字表法分为对照组（C组）和观察组（O组）,各50例。C组实施电针治疗,O组在C组基础上增加低频电刺激。对比2组的上肢肌群RMS值、徒手肌力、上肢功能。结果 入组时2组的腕屈伸肌群均方根值（RMS）对比无差异（P>0.05）,干预1、2、3、4周后,O组的腕屈伸肌群RMS值高于C组（P<0.05）。干预4周后,O组的徒手肌力优于C组（P<0.05）。O组的Fugl-Meyer -上肢功能、Wolf 上肢运动功能评定（WMFT）得分高于C组（P<0.05）。结论 在电针治疗基础上联合低频电刺激能显著改善中风后上肢弛缓瘫患者的徒手肌力,增加患肢的肌电值,促进上肢功能恢复。

目的 观察和研究功能锻炼和心理护理对中风后肩手综合征老年患者功能康复的影响,以及对运动功能、日常生活活动能力的影响。方法 选取2015年6月—2017年2月收治的中风后肩手综合征老年患者60例为研究对象,随机法分为干预组与对照组,各30例。干预组在给予内科常规治疗及护理的同时,采用功能锻炼心理干预等方法进行处理;对照组仅进行内科的常规治疗及护理。运动功能则采用Fugl-Meyer评分法(FMA)进行评分,而日常生活活动能力采用改良Barthel指数(MBI)进行评分。并比较两组患者干预前后焦虑、抑郁水平。结果 干预组FMA评分以及MBI评分均高于对照组,差异有统计学意义(P<0.05)。干预后干预组患者焦虑、抑郁评分低于对照组,两组比较差异有统计学意义(P<0.01)。结论 采用功能锻炼和心理护理能提高中风后偏瘫患者的运动功能以及日常生活活动能力,缓解或消除患者焦虑抑郁等负性情绪,效果明显,值得推广应用。

Objective To observe and study of functional exercise and psychological nursing for stroke shoulder hand syndrome after the influence of the elderly patients with functional rehabilitation, and the influence on motor function and ability of daily life activities. Methods 60 cases of elderly patients with apoplexy after apoplexy were selected from June 2015 to February 2017. They randomly were divided into two groups: intervention group and control group, each with 30 cases. The intervention group was treated with functional exercise psychological intervention with giving routine treatment and nursing care as the same time. The control group only conducted routine treatment and nursing care. The exercise function was rated by the Fugl-Meyer scoring method (FMA), while the improved Barthel index (MBI) was used to score the daily activities. The anxiety and depression levels were compared between the two groups. Results The FMA score of the intervention group and MBI score were higher than that of the control group, and the difference was statistically significant(P<0.05). The anxiety and depression scores of the intervention group were lower than those in the control group, and the difference between the two groups was statistically significant(P<0.01). Conclusion The functional exercise and psychological care may improve movement function in patients with hemiplegia after stroke, and daily life activities ability, alleviate or eliminate negative emotions, including anxiety depression. It is worth promoting.