[1]聂世刚 袁莹.补阳化痰通络汤结合现代康复对脑卒中康复期日常生活?运动功能的影响[J].现代中医药,2020,(02):066-70.[doi:10.13424/j.cnki.mtcm.2020.02.018]
　Nie Shigang,Yuan Ying.Effects of Buyang Huatan Tongluo Decoction Combined with Modern Rehabilitation on Daily Life and Motor Function in the Recovery Period of Stroke[J].Modern Traditional Chinese Medicine,2020,(02):066-70.[doi:10.13424/j.cnki.mtcm.2020.02.018]
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补阳化痰通络汤结合现代康复对脑卒中康复期日常生活?运动功能的影响()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年02期
页码:
066-70
栏目:
出版日期:
2020-04-22

文章信息/Info

Title:
Effects of Buyang Huatan Tongluo Decoction Combined with Modern Rehabilitation on Daily Life and Motor Function in the Recovery Period of Stroke
文章编号:
1672-0571(2020)02-0066-05
作者:
聂世刚 袁莹
三原县县医院,陕西咸阳713800
Author(s):
Nie Shigang;  Yuan Ying
Sanyuan County Hospital, Xianyang China, 713800
关键词:
补阳化痰通络汤; 康复干预; 脑卒中; 康复期; 运动功能
Keywords:
Buyang Huatan Tongluo Decoction;  Rehabilitation intervention;  Stroke;  Recovery period;  Motor function
分类号:
R255.2
DOI:
10.13424/j.cnki.mtcm.2020.02.018
文献标志码:
B
摘要:
目的研究补阳化痰通络汤结合现代康复对脑卒中康复期日常生活?运动功能的影响?方法选取我院108例脑卒中患者纳入研究对象,以随机数表法分为观察组与对照组,每组54例?对照组行常规内科治疗及现代康复治疗,治疗组在对照组基础上加用补阳化痰通络汤进行治疗,对比两组神经功能缺损疗效及治疗前后运动功能评分(FMA)?日常生活活动指数(Barthel)?生活质量评分(SF-36)各项指标变化,另外分析用药安全性?结果治疗组临床疗效总有效率90.74%显著高于对照组75.93%,差异有统计学意义(P<0.05);治疗组治疗后上下肢FMA?Barthel评分与治疗前及对照组治疗后对比显著提高,差异有统计学意义(P<0.05);治疗组治疗后SF-36评分生理功能?生理职能?躯体疼痛?总体健康?活力?社会功能?情感职能?精神健康各项评分与治疗前及对照组治疗后对比显著提高,差异有统计学意义(P<0.05);两组不良反应发生率对比差异无统计学意义(P>0.05)?结论使用补阳化痰通络汤联合现代康复对脑卒中恢复期运动功能障碍患者进行治疗可促进患者神经功能?运动功能恢复,提高日常生活能力及生活质量,临床效果满意,值得推广?
Abstract:
Objective To investigate the effects of Buyang Huatan Tongluo Decoction combined with modern rehabilitation on daily life and motor function in the recovery period of stroke. Methods 108 stroke patients in our hospital were selected as the study subjects and divided into observation group and control group by random number table method, with 54 cases in each group. The control group was treated with conventional medical treatment and modern rehabilitation. The treatment group was treated with Buyang Huatan Tongluo Decoction on the basis of the control group. The efficacy of neurological deficits, the changes of various indexes of motor function score ( FMA) , Barthel and SF - 36 before and after treatment were compared between the two groups. In addition, the medication safety was analyzed. Results The total effective rate of clinical efficacy in the treatment group was 90. 74%, which was significantly higher than that ( 75. 93% )in the control group, the difference was statistically significant ( P < 0. 05) . the FMA and Barthel scores of upper andlower limbs in the treatment group after the treatment were significantly higher than those before the treatment and also significantly higher than those after treatment in the control group, and the difference was statistically significant ( P < 0.05) ; the SF - 36 scores of physiological function, physiological role, physical pain, overall health, vitality, social function, emotional function and mental health in the treatment group after the treatment were significantly higher than those before the treatment and also significantly higher than those after treatment in the control group ( P < 0. 05) , and the differences were statistically significant ( P <0. 05) . There was no significant difference in the incidence of adverse reactions between the two groups ( P > 0. 05) . Conclusion the use of Buyang Huatan Tongluo Decoction combined with modern rehabilitation can promote the recovery of neurological function and motor function, improve the ability of daily life and quality of life of patients with motor dysfunction in the recovery period of stroke. The clinical effect is satisfactory and worthy of promotion.

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备注/Memo

备注/Memo:
通讯作者:袁莹,主治医师?E-mail:yuanying519@163.com
更新日期/Last Update: 1900-01-01