中药洗敷结合康复训练治疗脑卒中后偏侧感觉障碍的临床研究

Clinical effect of traditional Chinese medicine washing therapy combined with rehabilitation training in treatment of patients with unilateral sensory disturbance after stroke

目的观察中药洗敷结合康复训练治疗脑卒中后偏侧感觉障碍的临床疗效。方法 50例脑卒中后偏侧肢体感觉障碍患者随机分为治疗组和对照组,各25例,均给予常规药物及康复训练。治疗组增加中药洗敷治疗。在治疗前及治疗后2个月采用Fugl-Meyer量表(FMA)评价患者患侧感觉及运动功能、改良Barthel指数(MBI)评价日常生活能力评分。结果治疗2个月后,2组FMA量表感觉功能和运动功能评分、MBI评分较治疗前显著改善(P<0.05),且治疗组评分改善较对照组更加显著(P<0.01)。结论常规药物及康复训练基础上给予中药洗敷,能促进脑卒中患者偏侧肢体的感觉功能恢复,改善患者肢体的运动功能及日常生活活动能力。

Objective To observe the clinical effect of traditional Chinese medicine washing therapy combined with rehabilitation training in treatment of patients with unilateral sensory disturbance after stroke. Methods A total of 50 cases of stroke patients with unilateral limb sensory disturbance were randomly divided into the treatment group( n = 25) and the control group( n = 25),both with conventional medicine and rehabilitation training. The Chinese medicine washing treatment was applied in the treatment group additionally. The Fugl-Meyer assesment was used to evaluate the ipsilateral sensory and motor function and the Barthel index( BI) were used to assess the activities of daily living( ADL) score before treatment and 2 months after treatment. Results The score of FMA referring to ipsilateral sensory and motor function and BI were increased in both of two groups 2 months after treatment compared with those before treatment( P < 0. 05),and were higher in the treatment group than those in the control group( P < 0. 01). Conclusion Traditional Chinese medicine washing therapy combined with rehabilitation training can improve the rehabilitation of sensory and motor function,as well as activity of daily living in patients with unilateral sensory disturbance after stroke.