偏瘫康复汤对急性脑梗死患者的康复治疗效果观察

Curative Observation of Using Piantan Kangfu Decoction for the Rehabilitation Treatment of Patients with Acute Cerebral Infarction

目的:观察偏瘫康复汤对急性脑梗死患者康复和生活质量的影响。方法:以2012年6月~2015年6月在我院附属医院接受治疗的100例急性脑梗死患者为观察对象,并将其随机分为对照组和观察组,每组各50例。两组基础疗法相同,观察组在此基础上加用偏瘫康复汤。观察两组治疗前后BI、NIHSS评分和生活质量的改变。结果:两组治疗前BI各维度得分和总分无明显差别,两组治疗后上述指标均有所提高,而除洗澡、大便控制和小便控制三个维度得分两组间无明显差异,观察组其余各维度及总分均高于对照组,差异具有统计学意义(P<0.05);两组治疗前NIHSS评分无明显差别,治疗后两组NIHSS评分均降低,观察组降低更明显(P<0.05);两组治疗前生活质量得分无明显差别,治疗后两组除语言、社会角色、视力和工作/劳动四个维度外,其余各维度得分有有所上升,且观察组变化较对照组更为明显。结论:偏瘫康复汤对急性脑梗死患者有较好的治疗效果,可明显提高患者的生活质量。

Objective: To observe the effect of rehabilitation therapy on rehabilitation and quality of life of patients with acute cerebral infarction. Methods: 100 patients with acute cerebral infarction treated in our affiliated hospital from June 2012 to June2015were selected and randomly divided into controlled group and observation group,50 patients in each group. Two groups were given the same basic therapy,on the basis of that,the observation group were given Piantan Kangfu Decoction. The changes of BI,NIHSS scores and quality of life were observed before and after treatment in the two groups. Results: There were no significant differences in scores and total scores of BI between the two groups before treatment. After treatment,in addition to bathing,stool control and urine control three dimensions,the above indicators of the two groups all improved,and the rest of the other dimensions and total score were higher than the controlled group,the difference was statistically significant( P < 0. 05). There was no significant difference between the two groups before treatment. The NIHSS scores of the two groups after treatment all decreased,and the observation group decreased more significantly( P <0. 05). The quality of life score of the two groups had no significant difference before treatment,after treatment,in addition to language,social role,vision and work / labor four dimensions,the rest of the dimension scores in the two groups all increased,and the observation group changed more obvious than the controlled group.Conclusion: Piantan Kangfu Decoction has good therapeutic effect for patients with acute cerebral infarction,which can significantly improve the quality of life of patients.