摘要
目的探讨壮药酊联合手指点穴对高血压脑出血术后患者神经功能及肢体运动功能恢复的影响.方法选取2019年11月—2020年11月于该院接受手术治疗的109例高血压脑出血患者为研究对象,其中采用术后常规Bobath康复训练的52例患者作为对照组,在术后常规Bobath康复训练基础上加以壮药酊联合手指点穴治疗的57例患者作为观察组,分别于治疗前T_(0)、治疗后28 d T_(1)、治疗后84 d T_(2)以及治疗后168 d T_(3)对两组患者的神经功能、肢体运动功能进行评估,并通过计算和对比症状效应-时间曲线下面积(Area Under Curve,AUC)分析其治疗效应.结果重复测量方差分析显示,两组患者的中国卒中量表(China stroke scale,CSS)评分、Fugl-Meyer肢体运动功能评定(Fugl-Meyer assessment,FMA)评分的时间与分组存在交互作用(P<0.05).单独效应分析显示,治疗方法效应:T_(0)、T_(1)时,两组CSS评分、FAM评分比较,组间差异无统计学意义(P>0.05);T_(2)、T_(3)时,观察组CSS评分、FAM评分均低于对照组,组间差异均具有统计学意义(P<0.05),即不同治疗方式对T_(2)、T_(3)时CSS评分、FAM评分有显著影响.时间效应:观察组、对照组组内各时间点的CSS评分、FAM评分比较,差异均具有统计学意义(P<0.05),即时间对观察组、对照组患者CSS评分、FAM评分均有显著影响.结论壮药酊联合手指点穴对促进高血压脑出血术后患者神经功能及肢体运动功能恢复具有显著优势.
Objective To explore the effect of Zhuang medicine tincture combined with finger pointing on the recovery of nerve function and limb motor function in patients with hypertensive intracerebral hemorrhage after surgery.Methods 109 patients with hypertensive cerebral hemorrhage who underwent surgical treatment in this hospital from November 2019 to November 2020 were selected as the research objects.Among them,52 patients who used routine Bobath rehabilitation training after the operation were set as the control group,57 patients who were treated with Zhuang medicine tincture combined with finger pointing on the basis of routine Bobath rehabilitation training after the operation were set as the observation group.The neurological function and limb motor function of the two groups of patients were evaluated before treatment T_(0),28 d after treatment T_(1),84 d after treatment T_(2),and 168 d after treatment T_(3).The treatment effect was analyzed by calculating and comparing the area under curve(AUC)of symptom effect-time.Results Repeated measures analysis of variance showed that there were interactions in Chinese stroke scale(CSS)scores,Fugl-Meyer assessment(FMA)scores of the two groups between the time and groups(P<0.05).Simple effect analysis showed that the effect of treatment method:at T_(0)and T_(1),the CSS score and FAM score of the two groups were compared,and the differences between the two groups were not statistically significant(P>0.05);at T_(2)and T_(3),the CSS score and FAM score of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05),that is,different treatment methods had a significant impact on the CSS score and FAM score at T_(2)and T_(3).Time effect:comparison of CSS score and FAM score at each time point in the observation group and control group,the differences were statistically significant(P<0.05),that is,time had a significant impact on the CSS score and FAM score of patients in the observation group and control group Conclusion Zhuang medicine tincture combined with finger pointing has significant advantages in promoting the recovery of nerve function and limb motor function in patients with hypertensive intracerebral hemorrhage after surgery.
作者
朱雷
李江
安彩梅
陶文姣
潘小凤
韦月梅
韦祖斌
林卫红
陶平安
ZHU Lei;LI Jiang;AN Caimei;TAO Wenjiao;PAN Xiaofeng;WEI Yuemei;WEI Zubin;LIN Weihong;TAO Pingan(Department of Brain Diseases,Traditional Chinese Medicine(Zhuang Medical)Hospital of Wuming District,Nanning City,Nanning Guangxi,530199,China;Department of Rehabilitation,Traditional Chinese Medicine(Zhuang Medical)Hospital of Wuming District,Nanning City,Nanning Guangxi,530199,China)
出处
《反射疗法与康复医学》
2021年第5期27-31,共5页
Reflexology And Rehabilitation Medicine
