通腑化瘀汤、针刺联合康复训练治疗缺血性脑卒中临床研究

Clinical Study on Tongfu Huayu Tang and Acupuncture Combined with Rehabilitation Training for Ischemic Stroke

目的:观察通腑化瘀汤、针刺联合康复训练治疗缺血性脑卒中的临床疗效。方法:选取90例缺血性脑卒中患者,按随机数字表法分为对照组和观察组,每组45例。2组均给予常规西药治疗,对照组在此基础上给予通腑化瘀汤联合针刺治疗,观察组在对照组基础上加用康复训练,2组均治疗2个月。比较2组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、神经功能缺损程度量表(CSS)评分、肢体运动功能Fugel-Meyer(FMA)评定量表评分、Barthel指数(BI)及生活质量综合评定问卷-74(GQOL-74)评分;比较2组临床疗效。结果:治疗后,观察组NIHSS、CSS评分均低于对照组,FMA评分和BI均高于对照组(P<0.05)。治疗后,观察组躯体功能、心理功能、社会功能、物质生活评分均高于对照组(P<0.05)。观察组总有效率为95.56%,高于对照组的82.22%(P<0.05)。结论:通腑化瘀汤、针刺联合康复训练治疗缺血性脑卒中,可改善患者的神经功能缺损情况,促进其肢体运动功能恢复,提高其生活质量。

Objective:To observe the clinical effect of Tongfu Huayu tang and acupuncture combined with rehabilitation training for ischemic stroke.Methods:A total of 90 cases of patients with ischemic stroke were selected and divided into the control group and the observation group according to the random number table method,45 cases in each group.Both groups were given routine western medicine;the control group was additionally treated with Tongfu Huayu tang combined with acupuncture,and the observation group was additionally treated with rehabilitation training based on the treatment of the control group.Both groups were treated for two months.The scores of National Institute of Health Stroke Scale(NIHSS),Chinese Stroke Scale(CSS),Fugl-Meyer Assessment(FMA),Barthel index(BI)and Generic Quality of Life Inventory-74(GQOLI-74)before and after treatment and the clinical effect in the two groups were compared.Results:After treatment,the scores of NIHSS and CSS in the observation group were lower than those in the control group,and the scores of FMA and BI were higher(P<0.05).After treatment,the scores of physical function,mental function,social function and material life in the observation group were higher than those in the control group(P<0.05).The total effective rate was 95.56%in the observation group,higher than that of 82.22%in the control group(P<0.05).Conclusion:Tongfu Huayu tang and acupuncture combined with rehabilitation training for ischemic stroke can improve the neurological deficit of patients and their quality of life,and promote the recovery of motor function of limbs.