摘要
目的探讨益肾逐瘀助复汤辅助治疗对脑梗死后遗症期患者肢体痉挛及神经功能修复的影响。方法 90例脑梗死后遗症期肢体痉挛患者随机分成2组,各45例,对照组予以基础治疗及康复训练,每日1次,每次60min,每周6次为一个疗程,试验组在对照组的基础上予以益肾逐瘀助复汤,日1剂水煎服,一周为一个疗程,2组共治疗4个周期。比较2组患者治疗前后运动功能、活动能力、痉挛评分及神经功能修复情况。结果治疗后2组患者FMA(上、下肢)及MBI评分升高,上、下肢痉挛评分降低,NDS降低,FCA升高(P<0.05);与对照组相比,试验组FMA(上、下肢)及MBI评分较高,上、下肢痉挛评分较低,NDS较低,FCA较高(P<0.05)。结论益肾逐瘀助复汤辅助治疗可改善脑梗死后遗症期肢体痉挛患者的肌张力及肢体运动功能,修复神经功能,提高日常生活活动能力。
Objective To explore the effect of Yishen Zhuyu Zhufu decoction in the treatment of patients with sequelae of cerebral infarction and limb spasm and neurological function.Methods 90 patients with limb spasm after cerebral infarction were selected and randomly divided into 2 groups,with 45 cases in each group.The control group received basic treatment and rehabilitation training for 60 minutes,qd,six times a week for a course of treatment,and the treatment group receivd more with Yishen Zhuyu Zhufu decoction,qd,and 1 week for a course.2 groups were treated for 4 weeks.The motor function,activity ability,spasm score and nerve function recovery were compared between 2 groups before and after treatment.Results After treatment,the scores of FMA(upper and lower limbs)and MBI increased,the scores of upper and lower limbs spasm decreased,NDS decreased,and FCA increased(P<0.05).Compared with the control group,the scores of FMA(upper and lower limbs)and MBI in the treatment group were higher,the scores of upper and lower limbs spasm were lower,NDS were lower,and FCA were higher(P<0.05).Conclusion Yishen Zhuyu Zhufu decoction can improve the muscle tension and limb motor function of patients with limb spasm after cerebral infarction sequelae,repair the function of nerve and the ability of daily living.
作者
梅琳琳
MEI Linlin(Department of Traditional Chinese Medicine,Shenyang Songliao Hospital of Traditional Chinese Medicine,Liaoning Province,Shenyang 110021,China)
出处
《中国中医药现代远程教育》
2019年第4期53-55,共3页
Chinese Medicine Modern Distance Education of China
关键词
益肾逐瘀助复汤
脑梗死后遗症
肢体痉挛
神经功能
中风
Yishen Zhuyu Zhufu decoction
sequela of cerebral infarction
limb spasticity
nerve function
stroke
