益气活血中药联合康复治疗对脑梗死患者肢体功能及生活质量的影响

Effect of Chinese Medicine and Rehabilitation Training on Extremity Function and Life Quality in Cerebral Infarction

目的:探讨益气活血中药联合康复治疗对脑梗死患者肢体功能及生活质量的影响。方法:将160例急性脑梗死患者采用随机数字表法分为对照组与观察组,两组患者均给予常规西医基础治疗及早期康复训练,观察组患者同时接受益气活血中药口服治疗,疗程1个月。采用运动功能(FMA)及Spitzer生活质量指数表(QLI)评估患者肢体运动功能及生活质量。同时比较两组治疗前后血液流变学指标的改变。结果:观察组与对照组治疗有效率分别为91.3%和75.0%(P<0.05);治疗后观察组QLI评分及FMA评分均显著高于对照组(P<0.01);治疗后观察组血液流变学指标显著优于对照组(P<0.01)。结论:益气活血中药联合康复治疗可显著改善急性脑梗死患者肢体功能,提高生活质量。

Objective：The aim of the study was to explore the effect of Chinese medicine in combination with rehabilitation training on extremity function and life quality in cerebral infarction patients.Method：One hundred and sixty cases with acute cerebral infarction were randomly divided into control group and experience group.All the patients received routine western medical treatment and early rehabilitation training.Experience group was given nourishing Qi and activating blood circulation medicine therapy.The course of treatment was 1 month.Fugl-meyer assessment （FMA） and Spitzer scales were used to evaluate extremity function and life quality.Meanwhile,the change of blood rheology indexwas compared between two groups.Result：The effective rates in experience group and control group were 91.3％ and 75.0％ （P ＜ 0.05）,respectively; after treatment,FMA and Spitzer scores in experience group were much higher than those in control group （P ＜ 0.01）,and blood rheology index of experience group was superior to control group （P ＜ 0.01）.Conclusion：Chinese medicine in combination with rehabilitation training can greatly improve the extremity function and life quality of cerebral infarction patients.