摘要
目的:观察参芪通络汤联合西药治疗卒中后偏瘫患者的效果。方法:选取2019年4月至2021年1月该院收治的120例卒中后偏瘫患者进行前瞻性研究,按照随机数字表法分为对照组、观察组各60例。两组均进行Brunnstorm康复训练,在此基础上,对照组采用常规西药治疗,观察组在对照组的基础上联合参芪通络汤治疗,比较两组治疗前后运动功能[Fugl-Meyer评定量表(FMA)]评分、自我效能感[一般自我效能感量表(GSES)]评分、神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]评分、血小板参数(血小板计数、血小板聚集率、平均血小板体积)、血流动力学指标[颈动脉外周阻力(Rv)、动态阻抗(DR)、最小血流速度(V)]水平,以及不良反应发生率。结果:治疗后,观察组GSES评分、FMA评分、V水平均高于对照组,NIHSS评分、血小板计数、血小板聚集率、平均血小板体积、Rv水平、DR水平均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:参芪通络汤联合西药治疗卒中后偏瘫患者,可改善患者运动及神经功能,提升自我效能感,改善血小板参数及血流动力学指标水平,且安全性良好。
Objective: To observe the effect of Shenqi Tongluo decoction combined with western medicine on patients with hemiplegia after stroke. Methods: 120 patients with post-stroke hemiplegia who were treated in this hospital from April 2019 to January 2021 were selected for the prospective study, and were divided into control group and observation group according to the random number table method, 60 cases in each group.Both groups underwent Brunnstorm rehabilitation training. On this basis, the control group was treated with conventional western medicine, while the observation group was treated with Shenqi Tongluo decoction on the basis of that of the control group. The motor ability [Fugl-Meyer assessment(FMA)], the self-efficacy [general self-efficacy scale(GSES)], the neurological deficit score [national institutes of health stroke scale(NIHSS)], the platelet parameter levels(Platelet count, platelet aggregation rate, mean platelet volume), the hemodynamic index levels [carotid peripheral resistance(Rv), dynamic impedance(DR), minimum blood flow velocity(V)], and incidence of adverse reactions were compared between the two groups before and after the treatment. Results: After the treatment, the GSES and FMA scores as well as the Vlevel of the observation group were higher than those of the control group;the NIHSS score, the platelet count, the platelet aggregation rate, the average platelet volume, and the Rv and DR levels were lower than those of the control group;the differences were statistically significant(P<0.05). However, there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusions: Shenqi Tongluo decoction combined with western medicine in the treatment of the post-stroke hemiplegia patients can improve the motor and neurological function, enhance the self-efficacy, and improve the platelet parameters and the hemodynamic index levels with good safety.
作者
李荣荣
LI Rongrong(Department of Traditional Chinese Medicine of Anshan Central Hospital,Anshan 114000 Liaoning,China)
出处
《中国民康医学》
2022年第19期84-87,共4页
Medical Journal of Chinese People’s Health
关键词
参芪通络汤
缺血性卒中
偏瘫
自我效能
血小板参数
血流动力学指标
Shenqi Tongluo decoction
Ischemic stroke
Hemiplegia
Self-efficacy
Platelet parameter
Hemodynamic index
