通络洗剂烫洗治疗缺血性脑卒中患者肢体功能障碍的临床研究

Clinical study of Tongluo Lotion bath treating limb dysfunction in patients with ischemic stroke

目的探讨通络洗剂烫洗治疗缺血性脑卒中患者肢体功能障碍的临床效果。方法选取2018年1月~2019年1月本院收治的80例缺血性脑卒中后肢体功能障碍患者,按照随机数字表法分为两组,各40例。对照组通过康复治疗,主要以肢体良肢位摆放为主进行干预,观察组则联合应用通络洗剂进行干预,对所有入组者随访6个月,比较两组干预后6个月踝关节与肩关节活动能力;比较两组干预后6个月上下肢肌力情况;比较两组干预后6个月关节相关并发症情况;比较干预后改良爱丁堡-斯堪的那维亚卒中量表(MESSS)评分与整体生活质量Barthel指数变化情况。结果随访6个月,观察组踝关节活动度高于对照组,肩关节内旋、外旋及上举角度均大于对照组(P<0.05),观察组上下肢肌力在4级和以上比例高于对照组(P<0.05),观察组肩关节半脱位、髋关节半脱位、关节挛缩、关节僵硬的比例均低于对照组(P<0.05),观察组MESSS评分低于对照组(P<0.05),Barthel指数高于对照组(P<0.05)。结论针对缺血性脑卒中偏瘫患者在康复治疗基础上应用通络洗剂烫洗,可有效改善患者功能,提高肢体肌力,减少关节相关并发症,促进神经功能恢复,提高患者生活质量。

Objective To investigate the clinical effect of Tongluo Lotion bath treating limb dysfunction in patients with ischemic stroke.Methods A total of 80 cases with limb dysfunction after ischemic stroke admitted to our hospital from January 2018 to January 2019 were selected and divided into two groups with 40 cases in each group according to the random number table method.The control group received rehabilitation treatment and mainly intervened by placing good limbs,while the observation group received intervention combined with Tongluo Lotion.All the participants were followed up for 6 months,and the ankle joint and shoulder joint mobility after 6 months of intervention were compared between the two groups.The muscle strength of upper and lower limbs of the two groups were compared after 6 months of intervention.The joint-related complications 6 months after intervention were compared between the two groups.The changes of modified Edinburgh-Scandinavian stroke scale(MESSS)score and Barthel index of overall quality of life after intervention were compared.Results After 6 months of follow-up,the ankle joint activity in the observation group was higher than that in the control group,and the internal rotation,external rotation and lifting angles of the shoulder joint were all higher than those in the control group(P<0.05).The proportion of upper and lower limb muscle strength in the observation group was higher than that in the control group(P<0.05).The proportions of shoulder subluxation,hip subluxation,joint contracture and joint ankylosis in the observation group were all lower than those in the control group(P<0.05).The MESSS score in observation group was lower than that in control group(P<0.05),the Barthel index was higher than that in control group(P<0.05).Conclusion Bath with Tongluo Lotion on the basis of rehabilitation therapy for hemiplegic patients with ischemic stroke can effectively improve the patient′s function,improve limb muscle strength,reduce joint-related complications,promote the recovery of neurological function and improve the quality of life of patients.