填阴汤加味联合康复训练对老年中风后偏瘫患者肢体功能恢复的影响

Effect of Modified Tianyin Tang Combined with Rehabilitation Training on Limb Function Recovery in Senile Patients with Post-Stroke Hemiplegia

目的:观察填阴汤加味联合康复训练对老年中风后偏瘫患者肢体功能恢复的疗效。方法:将72例中风后偏瘫老年患者按随机数字表法分为对照组和观察组,各36例。2组患者根据指南接受脑卒中常规治疗。对照组接受康复训练。观察组在对照组治疗基础上采取填阴汤加味治疗。2组疗程均4周。比较2组肢体运动功能、平衡能力、步行能力评分以及日常生活活动能力。结果:干预后,2组Fugl-Meyer运动量表(FMMS)评分较前增加(P<0.01);与对照组比较,观察组干预后FMMS评分增加更明显(P<0.01)。干预后,2组博格(Berg)平衡量表(BBS)、Barthel指数(BI)评分升高,步行能力评分降低(P<0.01);与对照组比较,观察组干预后BBS、BI评分升高更明显,步行能力评分减少更显著(P<0.01)。观察组总有效率为77.78%,高于对照组的52.78%,2组比较,差异有统计学意义(P<0.05)。结论:填阴汤加味联合康复训练能有效促进中风后偏瘫老年患者的肢体功能恢复。

Objective:To observe the curative effect of modified Tianyin tang combined with rehabilitation training for limb function recovery in senile patients with post-stroke hemiplegia. Methods:A total of 72 cases of senile patients with poststroke hemiplegia were divided into the control group and the observation group according to the random number table method, 36 cases in each group. Both groups were given routine treatment for stroke according to the guidelines;the control group was given rehabilitation training,and the observation group was additionally treated with modified Tianyin tang based on the treatment of the control group. Both groups were treated for four weeks. The scores of limb motor function,balance ability and walking ability as well as activities of daily living in the two groups were compared. Results: After intervention,the scores of Fugl-Meyer Motor Scale(FMMS) in the two groups were increased when compared with those before intervention(P<0.01);the increase in the observation group was more significant when compared with that in the control group(P<0.01). After intervention, the scores of Berg Balance Scale(BBS) and Barthel Index(BI) in the two groups were increased,and the scores of walking ability were decreased(P<0.01);the increase of the scores of BBS and BI and the decrease of the score of walking ability in the observation group were more significant when compared with those in the control group(P<0.01). The total effective rate was 77.78% in the observation group, higher than that of 52.78% in the control group, the difference being significant(P<0.05). Conclusion: The therapy of modified Tianyin tang combined with rehabilitation training has effect on limb function recovery in senile patients with post-stroke hemiplegia.