解痉颗粒合中药熏蒸对中风后痉挛性瘫痪患者肢体功能的影响

Effects of Antispasmodic Particles Combined with Traditional Chinese Medicine Fumigation on Limb Function of Patients with Spasticity After Stroke

目的:探讨解痉颗粒合中药熏蒸对中风后痉挛性瘫痪患者肢体功能及日常生活活动(ADL)能力的影响。方法:将符合纳入标准的90例患者随机分为中药组和西药组各45例,两组患者在接受一般基础治疗的基础上,中药组给予解痉颗粒及中药熏蒸治疗,而西药组给予口服巴氯芬治疗,疗程1个月。两组患者均于治疗前、治疗后1个月进行偏瘫肢体的功能评分(简化四肢Fugl-Meyer评分)及生活自理能力评分(BI指数),比较两组的疗效差异。结果:经治疗,两组的FMA评分及BI评分均明显升高,与治疗前有明显差异(P<0.001),但中药组FMA及BI评分的改善优于西药组(P<0.05)。结论:中药解痉颗粒合中药熏蒸能较好的改善卒中后痉挛性瘫痪患者的肢体功能,提高日常生活活动能力,其疗效优于巴氯芬。

Objective：To investigate the effect of antispasmodic particals combined with traditional Chinese medicine fumigation on limb function and activities of daily living of patients with spastic paralysis after stroke. Methods ：90 patients meeting the inclusion criteria were randomly divided into Traditional Chinese medicine group and Western medicine group （ n = 45 ）. Bsed on the general foundation treatment, the patients in Chinese medicine group were given antispasmodic particles and traditional Chinese medicine fumigation treatment while the patients in the Western medicine group were given baclofen, all for one month. The hemiplegic limb function score （Fugl -Meyer score of simplified limbs） and ADL score （BI index） of each patient was assessed before and after treatment. Results ： After treatment, the scores of FMA and BI were significantly elevated in both groups and there was significant difference compared with before treatment（ P 〈0. 001 ） while the traditional Chinese medicine group＇s was better than the western medicine group＇s （ P 〈 0.05 ）. Conclusion ： The antispasmodic particals combined with traditional Chinese medicine fumigation can improve the limb function and the ability of activities of daily living in patients with spastic paralysis after stroke, better than baclofen.