芪芍益肾平肝方对卒中后肌张力障碍患者运动功能的影响

Effects of Qishao Benefiting-kidney Calming-liver Formula on the Motor Function of Patients with Post-stroke Dystonia

目的:探讨芪芍益肾平肝方对卒中后肌张力障碍患者运动功能的影响。方法:选取100例卒中后肌张力障碍患者作为研究对象,随机分为观察组与对照组,每组50例。对照组应用常规治疗,观察组在常规治疗基础上联合芪芍益肾平肝方治疗。对比两组治疗整体效果、肌张力情况、运动功能、日常生活能力和生活质量。结果:观察组总有效率[94.0%(47/50)]高于对照组[76.0%(38/50)](P<0.05);治疗后,观察组股四头肌和肱二头肌肌张力为1级、1+级患者多于对照组,3级患者少于对照组(P<0.05);两组治疗3、6、12个月后运动功能评分均上升,且观察组高于对照组(P<0.05);两组治疗后日常生活活动能力、生活质量问卷评分均提高,且观察组高于对照组(P<0.05)。结论:对卒中后肌张力障碍患者在常规治疗基础上服用芪芍益肾平肝方能够增加治疗效果,减轻肌张力,提升运动功能,进而提高患者的生活质量。

Objective:To investigate the effect of Qishao benefiting-kidney calming-liver formula on the motor function of patients with post-stroke dystonia.Methods:One hundred patients with post-stroke dystonia were selected as study subjects and randomly divided into observation group and control group,with 50 cases in each group.The control group was treated with conventional treatment,while the observation group was treated with the formula on the basis of conventional treatment.To compare the overall effectiveness,muscle tone,motor function,activity of daily living(ADL),and quality of life between the two groups.Results:The total effective rate of the observation group[94.0%(47/50)]was higher than that[76.0%(38/50)]of the control group(P<0.05);after the treatment,there were more patients with grade 1 and 1+quadriceps and biceps muscle tone in the observation group than in the control group,and there were fewer grade 3 patients in the observa-tion group than in the control group(P<0.05);the scores of motor function of the two groups were increased after three,six,and twelve months of the treatment,and the scores of the observation group were higher than theses of the control group(P<0.05);ADL ability and the scores of the quality of life questionnaire were increased in both groups after treatment,and the observation group was higher than the control group(P<0.05).Conclusion:The administration of Qishao benefiting-kidney calming-liver formula on the basis of conventional treatment for patients with post-stroke dystonia can increase the therapeutic effects,reduce dystonia,improve motor function,and then improve the quality of life of the patients.