血栓通注射液治疗缺血性脑卒中恢复期临床观察

Clinical Observation of Xueshuan Tong Injection in Treating Cerebral Arterial Thrombosis at the Restoration Stage

目的:探讨血栓通注射液治疗缺血性脑卒中恢复期患者的临床疗效。方法:将纳入研究的100例缺血性脑卒中恢复期患者,随机分为对照组及观察组,对照组使用西医康复治疗方法,观察组在西医康复治疗方法上,加予血栓通注射液治疗,均以3个月为1个疗程。在治疗前后,采用改良Ashworth痉挛量表(MAS)、Barthel指数评分及生活质量量表(SF-36)进行评估。结果:1经治疗后,观察组患者肌张力较对照组明显降低;2治疗后,2组Barthel指数比较存在显著性差异;3在生活质量量表(SF-36)4个维度比较,对照组治疗前后,仅在心理功能方面有显著性改善,余维度无明显改变,观察组治疗前后对比,在四个维度均有明显改善,且治疗后与对照组比较,除在神经功能维度无显著性差异外,余维度均有显著性差异。结论:血栓通注射液能较好地降低缺血性脑卒中恢复期患者肌张力,改善肢体活动能力,改善生活质量。

Objective： To evaluate the effect of Xueshuan Tong injection in treating cerebral arterial thrombosis at the restoration stage. Methods： 100 patients with ischemie stroke of convalescent patients were randomly divided into control group and observation group. Western medicine rehabilitation method is used for the control group. On the basis of Western medicine rehabilitation, Xueshuan Tong injection therapy is used for the observation group. 3 months for a course of treatment. Before and after treatment, modified Ashworth Scale （MAS）, Barthel Index scores and quality of life questionnaire （SF-36） was used to evaluate the results. Results： ① After treatment, the observation group muscle tension were decreased significantly than the control group; ② After treatment, the two groups Barthel index are significant differences; ③ （SF-36） 4 dimensions compare in quality of life questionnaire, the control group before and after treatment, only have the psychological features significant improvements over the dimensions no significant change was observed before and after treatment comparison, in four dimensions were significantly improved, and compared with the control group after treatment, except in the neurological dimension no significant differences, than the dimensions were significant differences. Conclusion： Xueshuan Tong injection can better reduce ischemie stroke patients and recover muscle tension, improve physical activity and the quality of life.