摘要
目的观察中医传统运动联合中药熏蒸疗法治疗卒中后恢复期患者肢体运动功能障碍的临床疗效。方法将99例卒中后恢复期患者按照随机数字表法分为3组,中医传统运动组33例予中医传统运动疗法治疗,中药熏蒸组35例予中药熏蒸疗法治疗,联合组31例予中医传统运动联合中药熏蒸疗法治疗。比较3组治疗前及治疗1、3、6个月Fugl-Meyer运动量表(FMA)评分、改良巴氏指数(BI)评分变化情况。结果与本组治疗前比较,联合组治疗1、3、6个月FMA评分、改良BI评分均增加(P<0.05),中医传统运动组和中药熏蒸组治疗3、6个月FMA评分、改良BI评分均增加(P<0.05)。与本组治疗1个月比较,3组治疗3、6个月FMA评分、改良BI评分均增加(P<0.05)。与本组治疗3个月比较,3组治疗6个月FMA评分、改良BI评分均增加(P<0.05)。3组治疗同期比较,联合组治疗1、3、6个月FMA评分、改良BI评分均高于中医传统运动组和中药熏蒸组同期(P<0.05),但中医传统运动组与中药熏蒸组同期组间比较差异均无统计学意义(P>0.05)。结论中医传统运动联合中药熏蒸疗法治疗卒中后恢复期肢体运动功能障碍疗效更佳,可有效促进患者肢体功能恢复,提高日常生活能力,且见效快,随着疗程的增加疗效更好。
Objective To observe the clinical effect of traditional Chinese exercise therapy with Chinese fumigation on limb motor dysfunction in convalescent stroke patients.Methods Totally 99 convalescent stroke patients were randomly assigned into 3 groups:the exercise group(n=33,received traditional Chinese exercise therapy),the fumigation group(n=35,received Chinese fumigation),the combined group(n=31,received Chinese exercise+fumigation).The aim was to compare the Fugl-Meyer assessment(FMA)score,modified Barthel Index(BI)on month 0,and on months 1,3 and 6.Results The FMA score and modified BI score increased on months 1,3 and 6 in the combined group(P<0.05),and which increased on months 3 and 6 in the exercise group and the fumigation group(P<0.05).The FMA score and modified BI score in groups on months 3 and 6 were increased than those on month 1(P<0.05),which in groups on month 6 were increased than those on month 3(P<0.05).On months 1,3 and 6,the FMA score and modified BI score in the combined group were the highest among the three groups(P<0.05).The difference was not statistically significant between the exercise group and the fumigation group in the same period(P>0.05).Conclusion The combined therapy has more effective on limb motor dysfunction of convalescent stroke patients;through effective limb function recovery,so as to improve the ability of daily life,and obtain quick effect.Also,the longer the treatment course,the better the curative effect.
作者
李易诗
安欣
何建康
马京华
王慧
吴建刚
陈金金
LI Yishi;AN Xin;HE Jiankang;Ma Jinghua;WANG Hui;WU Jiangang;CHEN Jinjin(Hebei University of Chinese Medicine,Shijiazhuang,Hebei 050200;Humanistic Nursing Teaching and Research Section of Hebei University of Chinese Medicine,Shijiazhuang,Hebei 050200;Key Laboratory for Health Care with Chinese Medicine of Hebei Province,Shijiazhuang,Hebei 050200;Department of Traditional Chinese Medicine,Fukang Community Health Service Center,Shijiazhuang,Hebei 050010)
出处
《河北中医》
2022年第2期210-214,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省重点研发计划项目民生科技专项(编号:19277765D)。
关键词
卒中
中风
中风后遗症
运动障碍
运动疗法
熏蒸
Stroke
Wind stroke
Stroke sequelae
Motor dysfunction
Exercise therapy
Fumigation
