脑出血患者早期中医康复介入治疗61例随机对照临床研究

Observation on therapeutic effect of Chinese medicine rehabilitation on early phase intracerebral hemorrhage patients

目的探讨早期中医康复介入治疗对脑出血患者肢体功能和日常生活活动能力（ADL）的影响。方法将61例脑出血患者随机分为早期中医康复组31例和晚期康复组30例。早期中医康复组在生命体征、神经缺损体征相对平稳后3～7d开始进行中医康复训练;晚期康复组在发病后1个月以后开始进行。两组均采用以中医针刺、推拿为主的运动疗法进行康复训练。使用Fugl-meyer评测法评测患者肢体运动功能;日常生活评定采用改良的Barthel指数。结果两组患者的Fugl-meyer评分、Barthel指数治疗前无显著性差异,治疗后两组较治疗前都有改善,但早期中医康复组较晚期中医康复组改善程度更加明显。结论早期和晚期中医康复均能改善脑出血患者的运动功能和日常生活能力,但早期中医康复的进行更有利于患者病情康复。

Objective To investigate the effect of Traditional Chinese Medicine（TCM） rehabilitation time on the motor function and activities of daily living（ ADL） of patients with intracerebral hemorrhage. Methods 61 patients were randomly divided into the early Traditional Chinese Medicine rehabilitation group（31 cases） and late rehabilitation group（ 30 cases）. The patients of two groups were treated with Acupuncture and Massage method. The starting times of rehabilitation were 3days to 7days（early TCM rehabilitation group） and 1month（late TCM rehabilitation group） after on set. The clinical effect was assessed with Fugl Meyer Assessment and modified Barthel index. Results The scores of the Fugl Meyer, Barthel index has no difference between two groups before treatment. After 1 month treatment, the scores of patients in two groups improved significantly, but the early TCM rehabilitation group had a greater improvement compared with the late TCM rehabilitation group. Conclusion The effect of early TCM rehabilitation is better than late TCM rehabilitation.