补阳还五汤对脑卒中后膝反张中长期疗效的观察

Observation on the long-term effect of Buyang Huanwu decoction on genu recurvatum after stroke

目的观察补阳还五汤对脑卒中后膝反张中长期的疗效。方法将60例经中医辨证属气虚络瘀证的脑卒中后膝反张患者,按照用药时间分成2个月组(A组)、4个月组(B组)、6个月组(C组),每组20例。在均施行神经内科治疗和运动疗法的基础上,按照各组相应的治疗时间予补阳还五汤,各组记录并观察指标至第6个月。疗效观察指标:(1)膝关节最大伸直度测定;(2)改良Fugl-Meyer评定(FMA)下肢运动功能。结果第4个月及第6个月三组间观察指标有显著差异(P<0.05),第6个月C组的效果优于B组和A组(P<0.05)。结论长期应用补阳还五汤不仅能改善脑卒中后膝反张的情况,而且能更好地维持中短期的治疗效果,为指导临床康复提供参考依据。

Objective To observe the long-term effect of Buyang Huanwu decoction on genu recurvatum after stroke.Methods 60 patients with genu recurvatum after stroke who belonged to Qi deficiency and Blood stasis type by Chinese medicine dialectical were divided into two-month group（group A）, 4-month group（group B） and 6-month group（group C）according to the time of treatment, with 20 patients in each group. The patients of the three groups were given Buyang Huanwu decoction according to the corresponding treatment time of each group, based on the implementation of neurological treatment and exercise therapy. The indicators of the three group were recorded and observed to the sixth month.The indicators of the efficacy were observed as follows：（1） determination of the knee max straightening angle;（2） improved Fugl-Meyer assessment（FMA） for lower limb motor function. Results There was significant difference among the three groups at fourth month and sixth month（ P〈0.05）. The effect of group C was better than that of group B and group A at sixth month（P〈0.05）. Conclusion The long-term application of Buyang Huanwu decoction can not only improve the genu recurvatum after stroke, but also can maintain the short and medium term treatment effect well, which provides the reference for guiding clinical rehabilitation.