中药熏药联合康复训练对脑卒中患者肢体痉挛的观察

The observation of Chinese herbal fumigation combined with rehabilitation training on limb spasm of stroke patients

目的:探究中药熏药联合康复训练对脑卒中患者肢体痉挛的观察。方法:选取脑卒中后肢体痉挛患者72例,在广东医科大学附属医院于2018年12月-2019年12月进行治疗,按照随机数字表法分为观察组及对照组,两组各36例。选择中药熏药联合康复训练的是观察组,选择单纯性康复训练治疗的是对照组。对比两组临床疗效、神经功能缺损程度评分,以及改良Ashworth量表(Modified Ashworth Scale,MAS)评分,Fugl-Meyer评定量表(Fugl-meyer Rating Scale,FMA)评分和改良Barthel指数(Modified Barthel Index,MBI)评分情况。结果:相较于对照组27例(75.00%,27/36),观察组的临床治疗总有效为34例(94.44%,34/36)较高,对比差异有统计学意义(P<0.05);护理前两组的神经功能缺损程度评分对比差异无统计学意义(P>0.05),但是相较于对照组,观察组护理之后的神经功能缺损程度评分为(15.41±3.06)分,明显低于对照组的(27.73±3.09)分,两组对比差异有统计学意义(P<0.05);相较于对照组,观察组的Ashworth评分较低、FMA、Barthel评分均较高,对比差异有统计学意义(P<0.05)。结论:针对脑卒中后肢体痉挛患者,采用中药熏药联合康复训练,可显著改善患者的生活质量,取得极佳的治疗效果,减轻神经功能缺损程度,改善患肢肌肉紧张度,降低患者疾病的致残率,产生疏经通络、活血化瘀之功效,具有临床应用价值,值得临床推广应用。

Objective: To investigate the effect of traditional Chinese medicine fumigation combined with rehabilitation training on limb spasm in stroke patients. Methods: 72 patients with limb spasm after stroke were selected and treated in Department of Traditional Chinese Medicine of Affiliated Hospital of Guangdong Medical University from December 2018 to December 2019. According to the random number table method, they were divided into the observation group and the control group, with 36 patients in each group. The observation group received traditional Chinese medicine fumigation combined with rehabilitation training, while the control group received simple rehabilitation training. The clinical efficacy, neurological impairment score and modified ashworth scale(MAS), fuglmeyer rating scale(FMA) and modified barthel index(MBI) scores were compared between the two groups. Results: Compared with 27 effective cases of the control group of 75.00%(27/36), the total effective rate 94.44%(34/36) of 34 effective cases of the observation group was higher, and the difference was statistically significant(P<0.05). There was no statistically significant difference in neurological defect score between the two groups before nursing care(P>0.05). However, compared with the control group, the neurological defect score of the observation group after nursing care was(15.41±3.06), which was significantly lower than that of the control group(27.73±3.09). The difference between the two groups was significant, and the comparison was statistically significant(P<0.05). Compared with that of the control group, the Ashworth score in the observation group was lower, FMA and Barthel scores were higher, and the differences were statistically significant(P<0.05). Conclusion: In view of the limb spasm after cerebral apoplexy of patients, traditional Chinese medicine(TCM) herbal fumigation combined with rehabilitation training can significantly improve the patient’s quality of life, obtain good treatment effect, reduce the degree of nerve function defect, improve the limb muscle tone, decrease the morbidity of the disease to produce the effect of relieving rigidity of muscles and activating collaterals, promoting blood circulation to remove blood stasis, it has clinical application value, which is worthy of clinical popularization and application.