摘要
目的:观察化痰通络汤联合康复训练治疗急性缺血性脑卒中的临床效果。方法:将急性缺血性脑卒中患者60例,按随机数字表法分为对照组与观察组各30例。2组均给予常规西医治疗,对照组加用康复训练,观察组在对照组的基础上联合化痰通络汤治疗。比较2组治疗前后中医证候积分、神经功能缺损情况及临床效果;观察2组治疗前后肢体运动功能、日常生活能力、肌力状况;记录治疗期间安全性。结果:观察组总有效率为86.67%,高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗后,2组中医证候积分、神经功能缺损评分(NIHSS)较治疗前明显下降(P<0.05),且观察组低于对照组(P<0.05)。治疗后,2组偏瘫运动功能(Brunnstrom)评分、肢体运动功能(FMA)评分较治疗前明显升高(P<0.05),且观察组明显高于对照组(P<0.05)。治疗后,2组自理能力(BI)指数、肌力(MRC)评分较治疗前显著升高(P<0.05),且观察组明显高于对照组(P<0.05)。治疗期间2组均未见明显不良反应。结论:化痰通络汤联合康复训练治疗急性缺血性脑卒中效果显著,可改善患者神经功能缺损及肢体运动功能,提高日常生活活动能力和肌力。
Objective:To observe the clinical effect ofHuatanTongluo tang combined with rehabilitation training for acute ischemic stroke. Methods:A total of 60 cases of patients with acute ischemic stroke were divided into the control group and the observation group according to the random number table method,30 cases in each group. Both groups were treated with routine western medicine;the control group was additionally treated with rehabilitation training,and the observation group was additionally given HuatanTongluo tang based on the treatment of the control group. Chinese medicine syndrome scores and neurologic impairment before and after treatment as well as the clinical effect in the two groups were compare. Before and after treatment,the limb motor function,activity of daily living and muscle strength in the two groups were observed.During treatment,the safety was recorded. Results:The total effective rate was 86.67% in the observation group,higher than that of 66.67% in the control group,the difference being significant(P<0.05). After treatment,the scores of Chinese medicine syndromes and National Institutes of Health Stroke Scale(NIHSS) in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05). After treatment, the scores of Brunnstrom and Fugl-Meyer Assessment(FMA) in the two groups were significantly increased when compared with those before treatment(P<0.05),and the scores in the observation group were significantly higher than those in the control group(P<0.05). After treatment, the Barthel Index(BI) and Medical Research Council(MRC) scores of muscle strength in the two groups were significantly increased when compared with those before treatment(P<0.05),and the above indexes in the observation group were significantly higher than those in the control group(P<0.05). During treatment, there was no significant adverse reaction in the two groups. Conclusion:The therapy ofHuatanTongluo tang combined with rehabilitation training has significant effect in treating patients with acute ischemic stroke,which can improve the neurologic impairment,limb motor function,the activity of daily living and muscle strength.
作者
周秋英
廖艳艳
ZHOU Qiuying;LIAO Yanyan
出处
《新中医》
CAS
2021年第2期187-190,共4页
New Chinese Medicine
关键词
急性缺血性脑卒中
化痰通络汤
康复训练
肢体运动功能
Acute ischemic stroke
HuatanTongluo tang
Rehabilitation training
Limb motor function
