中药穴位贴敷辅助治疗脑梗死后偏瘫临床研究

Clinical Study on Adjuvant Treatment of Point Application with Chinese Medicinals for Hemiplegia After Cerebral Infarction

目的:观察中药穴位贴敷辅助治疗脑梗死后偏瘫的临床疗效。方法:选取148例脑梗死后偏瘫患者,按随机数字表法分成西医组和穴位贴敷组各74例。西医组给予西药及康复训练治疗,穴位贴敷组在西医组基础上给予中药穴位贴敷治疗,2组均治疗6周。比较2组临床疗效及治疗前后肌力、肢体运动功能和生活自理能力。结果:穴位贴敷组总有效率81.08%,高于西医组63.51%(P<0.05)。治疗后,穴位贴敷组肌力分级优于西医组,差异有统计学意义(P<0.05)。治疗后,2组上肢、下肢Fugl-Meyer评分均较治疗前升高(P<0.05),穴位贴敷组上肢、下肢Fugl-Meyer评分均高于西医组(P<0.05)。治疗后,2组Barthel指数均较治疗前升高(P<0.05),穴位贴敷组Barthel指数高于西医组(P<0.05)。结论:中药穴位贴敷辅助治疗脑梗死后偏瘫,可改善患者的肌力和肢体运动功能,提高其生活自理能力。

Objective:To observe the clinical effect of adjuvant treatment of point application with Chinese medicinals for hemiplegia after cerebral infarction.Methods:A total of 148 cases of patients with hemiplegia after cerebral infarction were divided into the western medicine group and the point application group according to the random number table method,with 74 cases in each group.The western medicine group was treated with western medicine and rehabilitation training,and the point application group was additionally treated with point application with Chinese medicinals based on the treatment of the western medicine group.Both groups were treated for 6 weeks.Muscle strength,motor function of limbs and selfcare ability before and after treatment as well as the clinical effects in the two groups were compared.Results:The total effective rate was 81.08% in the point application group higher than that of 63.51% in the western medicine group(P<0.05).After treatment,the grading of muscle strength in the point application group was better than that in the western medicine group,the difference being significant(P<0.05).After treatment,the Fugl-Meyer scores of upper and lower limbs in the two groups were increased when compared with those before treatment(P<0.05),and the Fugl-Meyer scores of upper and lower limbs in the point application group were higher than those in the western medicine group(P<0.05).After treatment,Barthel indexes in the two groups were increased when compared with those before treatment(P<0.05),and Barthel index in the point application group was higher than that in the western medicine group(P<0.05).Conclusion:Point application with Chinese medicinals in adjuvant treatment of hemiplegia after cerebral infarction can improve the muscle strength and motor function of limbs in patients,and enhance their self-care ability.