“中医康复卒中单元”医疗模式的疗效观察

Effects Evaluation of TCM Rehabilitation Stroke Unit on Recovering Period of Stroke

目的评价中医康复卒中单元医疗模式的临床疗效。方法 70例患者根据随机数字表法随机分为治疗组和对照组两组各35例。对照组为"康复卒中单元"治疗模式,治疗组为"中医康复卒中单元"治疗模式,疗程21 d,随访3个月,观察比较两组治疗前后神经功能缺损程度评分(NDS)、日常生活活动能力(BI)、改良Rakin量表、简化的Fugl-Meyer运动功能评分等。结果两组治疗前的临床NDS、BI差别不大(均P>0.05)。治疗后两组与治疗前比较均改善(P<0.01);但两组组间比较差别不大(P>0.05)。治疗组改良Rank指数评分优于对照组(P<0.01)。两组治疗前Fugl-Meyer评分差别不大(P>0.05)。经过21 d治疗后,两组Fugl-Meyer评分与治疗前比较明显升高(均P<0.05),且治疗组优于对照组(P<0.01)。第90日差异更明显,治疗组优于对照组(P<0.001)。两组治疗过程中均未发现明显不良反应,两组血、尿、粪常规和心、肝、肾功能检查结果均无异常。结论中医康复卒中单元模式有良好的临床疗效。

Objective： To evaluate the clinical effects of TCM rehabilitation stroke unit in treating patients of re- covering period. Methods： 70 cases of recovering stroke patients were divided into two groups. One was TCM re- habilitation stroke unit group（the treatment group） and the other was rehabilitation stroke unit（the control group）. The treatment group was treated with the comprehensive intervention of herb, acupuncture, massage and rehabili- tation on the basis of modem stroke unit standardized treatment. The control group was trcated with the modem stroke unit standardized treatment only. These treatments were lasted for 21 days. Results： The NDS and the BI scores before treatment were superior to those after treatments in two groups （P〈 0.001 ）,but there were not significant differences between two groups during 21days（P〉 0.05 ）. Modified Rankin Scale in 90 days was SignifiCantly different between two groups（P〈0.O01 ）, as well as Fugl-Meyer scores. Conclusion： The pattern of TCM rehabil- itation stroke unit have a good clinical effect.