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观察补阳还五汤联合康复治疗对脑梗死康复期患者的疗效

To Observe the Therapeutic Effect of Buyang Huanwu Decoction Combined with Rehabilitation Therapy on Patients with Cerebral Infarction in Rehabilitation Stage
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摘要 目的研究针对脑梗死康复期患者采取康复锻炼与补阳还五汤联合治疗方案的价值.方法该院于2019年6月—2020年1月纳入74例脑梗死康复期患者开展研究.依据抛硬币法随机选出37例单纯予以康复治疗(A组),另外37例在A组基础上加用补阳还五汤治疗(B组),对两组治疗前后神经功能及日常生活能力进行评估,对比治疗总有效率.结果B组患者经过治疗后,其ADL评分显著高于A组,NIHSS评分显著低于A组;B组MBP、NSE及MCAF水平均低于A组;B组治疗总有效率明显高于A组,差异有统计学意义(P<0.05).结论康复治疗与补阳还五汤联合方案在脑梗死康复期患者治疗中合理应用,可显著提升临床疗效,有助于患者神经功能改善,日常生活能力提高,促使其尽快康复,建议临床推广使用. Objective To study the value of the combined treatment of rehabilitation exercise and Buyang Huanwu decoction for the patients with cerebral infarction in the rehabilitation period.Methods From June 2019 to January 2020,74 patients with cerebral infarction in convalescent period were enrolled in the study.According to the coin tossing method,37 patients were randomly selected for rehabilitation treatment(group A).The other 37 patients were treated with Buyang Huanwu decoction(group B)on the basis of group A.The neurological function and daily life ability of the two groups were evaluated before and after treatment,and the total effective rate was compared.Results After treatment,the ADL score of group B was significantly higher than that of group A,and the NIHSS score was significantly lower than that of group A;the MBP(myelin basic protein),NSE(neuron-specific enolase)and MCAF(monocyte chemotactic and activating factor)levels of group B were lower than those of group A;the total effective rate of group B was significantly higher than that of group A;the differences were statistically significant(P<0.05).Conclusion The reasonable application of rehabilitation therapy and Buyang Huanwu decoction in the treatment of patients with cerebral infarction in the rehabilitation period can significantly improve the clinical effect,improve the neurological function of patients,improve their ability of daily life,and promote their recovery as soon as possible.It is recommended to promote the clinical use.
作者 薛军民 XUE Junmin(Department of Traditional Chinese Medicine,Jingchuan County People's Hospital,Gansu Province,Pingliang Gansu,744399,China)
出处 《反射疗法与康复医学》 2020年第14期34-36,共3页 Reflexology And Rehabilitation Medicine
关键词 补阳还五汤 康复治疗 脑梗死 康复期 疗效 Buyang Huanwu decoction Rehabilitation treatment Cerebral infarction Rehabilitation period Curative effect
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