[1]赵娟妮,刘建成,吴丹丹,等.化痰通络汤联合康复训练治疗脑卒中后偏瘫疗效研究[J].陕西中医,2022,(12):1721-1724.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.016]
　ZHAO Juanni,LIU Jiancheng,WU Dandan,et al.Study on effects of Huatan Tongluo decoction combined with rehabilitation training on patients with post-stroke hemiplegia[J].,2022,(12):1721-1724.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.016]
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化痰通络汤联合康复训练治疗脑卒中后偏瘫疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年12期
页码:
1721-1724
栏目:
临床研究
出版日期:
2022-12-20

文章信息/Info

Title:
Study on effects of Huatan Tongluo decoction combined with rehabilitation training on patients with post-stroke hemiplegia
作者:
赵娟妮; 刘建成; 吴丹丹; 罗春红; 庞日朝
(西部战区总医院康复医学科,四川 成都 610083)
Author(s):
ZHAO Juanni; LIU Jiancheng; WU Dandan; LUO Chunhong; PANG Rizhao
(Department of Rehabilitation Medicine,General Hospital of Western Theater Command,Chengdu 610083,China)
关键词:
脑卒中后偏瘫;  化痰通络汤;  康复训练;  神经功能;  血液流变学;  生活质量;  下肢肌力
Keywords:
Post-stroke hemiplegia;  Huatan Tongluo decoction;  Rehabilitation training;  Neurological function;  Hemorheology;  Quality of life;  Lower limb muscle strength
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2022.12.016
文献标志码:
A
摘要:
目的:研究化痰通络汤联合康复训练对脑卒中后偏瘫患者的影响。方法:选择124例脑卒中后偏瘫患者进行研究,按照随机数字表法分为对照组(n=62)和试验组(n=62)。对照组采用康复训练,试验组在对照组基础上联合化痰通络汤治疗,比较两组临床疗效、血液流变学、神经功能恢复情况及下肢肌力情况。结果:治疗后,试验组总有效率为90.32%,明显高于对照组的75.81%,差异有统计学意义(P<0.05)。治疗后,试验组美国国立卫生院制定的卒中量表(NIHSS)评分低于对照组,Fugl-Meyer运动功能评分(FMA)高于对照组,差异有统计学意义(均P<0.05)。治疗后,试验组中医症状积分均低于对照组,差异有统计学意义(均P<0.05)。治疗后,试验组全血黏度、血浆黏度及纤维蛋白原含量均低于对照组; 试验组脑卒中专用生活质量量表(SS-QOL)评分高于对照组,差异有统计学意义(均P<0.05)。治疗后,试验组髋关节、膝关节伸展肌力及踝关节背曲肌力均高于对照组,差异有统计学意义(P<0.05)。结论:化痰通络汤联合康复训练治疗脑卒中后偏瘫临床效果较好。
Abstract:
Objective:To study the effects of Huatan Tongluo decoction combined with rehabilitation training on patients with post-stroke hemiplegia.Methods:124 patients with post-stroke hemiplegia were studied and divided into control group(n=62)and experimental group(n=62)according to the random number table method.The control group received rehabilitation training,and the experimental group was combined with Huatan Tongluo decoction on the basis of the control group.The clinical efficacy,hemorheology,neurological function recovery and lower limb muscle strength were compared between the two groups.Results:After treatment,the effective rate of treatment was 90.32% in experimental group,which was significantly higher than 75.81% in the control group difference statistically significant(P<0.05).The score of National Institutes of Health Stroke Scale(NIHSS)was significantly lower in the experimental group than that in the control group,difference statistically significant(P<0.05)while the score of Fugl-Meyer Motor Assessment(FMA)was significantly higher than that in the control group,difference statistically significant(P<0.05).The scores of TCM symptoms in the experimental group were significantly lower compared with those in the control group,difference statistically significant(P<0.05).The whole blood viscosity,plasma viscosity and fibrinogen were significantly lower in experimental group than those in control group(P<0.05).The scores of dimensions of Stroke-Specific Quality of Life Scale(SS-QOL)in experimental group were significantly higher compared to control group,difference statistically significant(P<0.05).The hip and knee extensor muscle strengths and ankle dorsal flexor muscle strength in the experimental group were significantly higher compared with those in the control group,difference statistically significant(P<0.05).Conclusion:Huatan Tongluo decoction combined with rehabilitation training has significant clinical effect in the treatment of post-stroke hemiplegia.

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备注/Memo

备注/Memo:
基金项目:四川省科技计划项目(2019YFS0542); 四川省中医药管理局科学技术研究专项课题(2021MS210)
更新日期/Last Update: 2022-12-09