中医药综合疗法在脑梗死恢复期患者康复中的应用

The Application of Comprehensive Therapy of Traditional Chinese Medicine in the Treatment of Cerebral Infarction Patients in Recovery Period

目的探讨中医治疗对脑梗死恢复期患者的康复效果。方法选取74例脑梗死恢复期患者,采用随机数字表法分成2组,每组37例。对照组予以常规治疗,试验组在对照组的基础上予以中医药疗法,包括穴位贴敷、穴位按摩及补阳还五汤治疗,2组患者均连续治疗4周。对比2组患者治疗前后运动功能、日常生活及生活质量。结果与治疗前比较,治疗后2组患者社会功能、心理功能、物质生活及躯体功能等生活质量评分升高,Fugl-Meyer运动功能评定量表(Fugl-meyer assessment,FMA)(上、下肢)评分及Barthel指数升高(P<0.05);与治疗后对照组相比,试验组FMA(上、下肢)及Barthel指数较高(P<0.05),生活质量评分较高(P<0.05)。结论中医治疗能有效促进脑梗死恢复期患者康复,改善肢体运动功能,利于日常生活能力的提升,改善生活质量。

Objective To explore the traditional Chinese medicine therapy on patients with cerebral infarction in recovery period.Methods 74 patients with cerebral infarction in recovery period were divided into two groups by random number table method,with 37 cases in each group.The control group received routine treatment,and the experimental group received additionally Chinese medicine therapy,including acupoint application,acupoint massage and Buyang Huanwu decoction,and 2 groups were treated for 4 weeks.The motor function,daily life and quality of life of the two groups were compared before and after treatment.Results Compared with before treatment,the scores of social function,psychological function,material life and physical function in the two groups increased,and the scores of FMA(upper and lower limbs)and Barthel index increased(P<0.05),compared with the control group,the scores of FMA(upper and lower limbs)and Barthel Index in the experimental group were higher(P<0.05),and the scores of quality of life were higher(P<0.05).Conclusion Acupoint application combined with acupoint massage can effectively promote the recovery of cerebral infarction in the recovery period,improve the motor function of limbs,improve the ability of daily life,and improve the quality of life.