摘要
目的:观察补阳还五汤加减联合康复训练治疗脑卒中偏瘫的临床疗效。方法:选取100脑卒中偏瘫患者,按随机数字表法分为对照组和观察组各50例。对照组给予常规康复训练,观察组在对照组基础上给予补阳还五汤加减治疗。评价2组临床疗效,采用Fugl-Meyer量表中的运动功能评分和四肢感觉评分评价运动功能和四肢感觉功能,采用Barthel指数评价日常生活能力,采用洛文斯认知功能评定量表(LOTCA)评估患者的认知功能,检查治疗前后血液黏度。结果:观察组总有效率为82.00%,高于对照组62.00%,差异有统计学意义(P<0.05)。治疗前,2组Fugl-Meyer评分、Barthel指数、LOTCA评分比较,差异无统计学意义(P>0.05)。治疗后,2组Fugl-Meyer评分、Barthel指数、LOTCA评分较治疗前升高(P<0.05),且观察组各项评分高于对照组(P<0.05)。治疗前,2组全血黏度及血浆黏度比较,差异无统计学意义(P>0.05)。治疗后,2组全血黏度及血浆黏度较治疗前降低(P<0.05),且观察组全血黏度及血浆黏度均低于对照组(P<0.05)。结论:补阳还五汤加减联合康复训练治疗脑卒中偏瘫患者疗效较好,可改善感觉、运动及日常生活能力,提高认知功能,降低血液黏度。
Objective: To observe the clinical effect of the therapy of modified Buyang Huanwu tang combined with rehabilitation training on stroke complicated with hemiplegia. Methods:A total of 100 stroke patients complicated with hemiplegia were divided into the control group and the observation group according to the random number table method,with 50 cases in each group. The control group was treated with routine rehabilitation training and the observation group was additionally treated with modified Buyang Huanwu tang based on the treatment of the control group. The clinical effects in the two groups were evaluated. The motor function and limb sensory function were evaluated by the scores of motor function and limb sensory function in Fugl-Meyer Scale,Ability of Daily Living by Barthel Index,and cognitive function by Loewenstein Occupational Therapy Cognitive Assessment(LOTCA). Before and after treatment, the blood viscosity was detected. Results: The total effective rate was 82.00% in the observation group,higher than that of 62.00% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparisons of scores of Fugl-Meyer,Barthel Index and LOTCA between the two groups(P>0.05). After treatment,the scores of Fugl-Meyer,Barthel Index and LOTCA in the two groups were increased when compared with those before treatment(P<0.05),and the above three scores in the observation group were higher than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparisons of whole blood viscosity and plasma viscosity between the two groups(P>0.05). After treatment, the levels of whole blood viscosity and plasma viscosity were decreased when compared with those in the control group(P<0.05),and the above two levels in the observation group were lower than those in the control group(P<0.05). Conclusion:The therapy of modified Buyang Huanwu tang combined with rehabilitation training has a good curative effect on stroke patients complicated with hemiplegia, which can improve the sensibility,motor ability and ability of daily living,enhance the cognitive function,and reduce the blood viscosity.
作者
林晶晶
张丹
李玥
LIN Jingjing;ZHANG Dan;LI Yue
出处
《新中医》
CAS
2022年第19期44-48,共5页
New Chinese Medicine
关键词
脑卒中偏瘫
补阳还五汤
康复训练
运动功能
感觉功能
认知功能
血液黏度
Stroke complicated with hemiplegia
Buyang Huanwu tang
Rehabilitation training
Motor function
Sensory function
Cognitive function
Blood viscosity