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康复训练配合补阳还五汤治疗中风偏瘫患者的效果观察 被引量:1

Observation on the Effect of Rehabilitation Training Combined with Buyang Huanwu Decoction on Patients with Stroke Hemiplegia
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摘要 目的 分析中风偏瘫患者运用康复训练配合补阳还五汤治疗的临床疗效.方法 纳入2018年1月—2019年10月邹城市中医院接诊的中风偏瘫患者92例,随机分为对照组与观察组,每组46例.患者均接受西医基础治疗,对照组接受康复训练,观察组接受补阳还五汤+康复训练.比较患者治疗3个月后的效果.结果 治疗前,两组患者的肢体功能(FMA)、自理能力(BI)、神经功能(MESSS)评分比较,差异无统计学意义(P>0.05);治疗3个月后,观察组FMA、BI评分高于对照组,MESSS评分低于对照组,差异有统计学意义(P<0.05).观察组治疗有效率(91.30%)高于对照组(76.00%),后遗症发生率(10.87%)低于对照组(28.26%),差异有统计学意义(P<0.05).结论 中风偏瘫患者采用康复训练配合补阳还五汤治疗,能显著改善患者神经功能,对肢体功能恢复具有明显效果,可进一步提升预后恢复质量,治疗效果显著. Objective To analyze the clinical effect of rehabilitation training combined with Buyang Huanwu Decoction in stroke patients with hemiplegia.Methods A total of 92 patients with stroke hemiplegia admitted to Zoucheng Hospital of Traditional Chinese Medicine from January 2018 to October 2019 were included in the study.They were randomly divided into a control group and an observation group,with 46 cases in each group.All patients received basic western medicine treatment,the control group received rehabilitation training,the observation group received Buyang Huanwu Decoction+rehabilitation training.The treatment effects of the two groups were compared.Results Before treatment,the differences in the scores of limb function(FMA),self-care(BI),and neurological function(MESSS)between the two groups of patients were not statistically significant(P>0.05);after 3 months of treatment,the FMA and BI scores of the observation group were higher than those of the control group,and the MESSS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).In the observation group,the effective rate of treatment(91.30%)was higher than that of the control group(76.00%),and the incidence of sequelae(10.87%)was lower than that of the control group(28.26%),the differences were statistically significant(P<0.05).Conclusion Rehabilitation training combined with Buyang Huanwu Decoction for stroke patients with hemiplegia can significantly improve the neurological function of patients,and have a significant effect on the recovery of limb function,can further improve the quality of prognosis and recovery,and the treatment effect is significant.
作者 刘飞 LIU Fei(Zoucheng Hospital of Traditional Chinese Medicine,Jining Shandong,273500,China)
机构地区 邹城市中医院
出处 《反射疗法与康复医学》 2020年第19期49-51,共3页 Reflexology And Rehabilitation Medicine
关键词 补阳还五汤 康复训练 中风偏瘫 肢体功能 神经功能 临床效果 Buyang Huanwu Decoction Rehabilitation training Stroke hemiplegia Limb function Nerve function Clinical effect
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