康复训练联合消栓颗粒治疗对脑卒中患者预后的影响

The Effect of Rehabilitation Training Combined with Xiaoshuan Particles on Improving Stroke Prognosis

目的:探讨康复训练联合消栓颗粒对中风偏瘫患者预后的影响。方法:将124例脑卒中偏瘫患者随机分为观察组及对照组,对照组患者给予功能训练,观察组在对照组治疗的基础上口服消栓颗粒,疗程为3个月,分别于治疗前、治疗后3个月时应用Fugl-Meyer(FMA)评价肢体运动功能、Barthel指数评价日常生活能力、L-ROM工具评估关节活动度,并比较治疗前后血沉(ESR)、纤维蛋白原(Fb)、低切变率下全血黏度(nbl)、高切变率下全血黏度(nbh)水平。结果:观察组治疗后下肢功能FMA评分、膝关节、髋关节活动度,日常生活能力显著高于治疗前(P<0.05),亦高于治疗后对照组(P<0.05);观察组治疗后ESR、Fb、nbl、nbh水平显著低于对照组治疗后,差异有统计学意义(P<0.05)。结论:功能训练联合消栓颗粒能有效改善脑中风患者肢体功能及脑血流指标,改善患者预后。

Objective：To discuss effect of rehabilitation combined with Xiaoshuan particles on prog-nosis of stroke patients.Methods：A total of 124 stroke patients with hemiplegia were randomly divid-ed into observation group and control group.The control group was treated with functional training and the observation group received Xiaoshuan particles for six months plus functional training.Fugl-Meyer assessment （FMA）was adopted to assess extremity motor function,Barthel index was adopted to as-sess activity of daily living and L-ROMwas used to assess joint range of motion before treatment and 6 months after treatment.ESR,Fb,nbl and nbh levels were compared before treatment and after treat-ment.Results：In observation group,the FMA score of lower limb function,the activity degree of knee joint,the activity degree of hip joint and Barthel index after treatment were significantly higher than their counterparts before treatment （P 〈0.05）and significantly higher than their counterparts af-ter treatment in control group （P 〈0.05）.In observation group,ESR,Fb,nbl and nbh levels after treatment were significantly lower than their counterparts after treatment.Conclusion：Functional training plus Xiaoshuan particles can effectively improve physical function,cerebral blood flow index of stroke patients,and improve patient prognosis.