中药烫熨预防脑卒中下肢深静脉血栓形成随访研究  

Follow-up Study of Thermotherapy with Traditional Chinese Medicine to Prevent Deep Venous Thrombosis with Stroke

作　　者：陈丹[1] 梁妮[1] 王棕可[1] 

机构地区：[1]广西中医学院第一附属医院,广西南宁530023

出　　处：《辽宁中医药大学学报》2011年第6期136-137,共2页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广西中医学院院级课题资助项目(P2007023)

摘　　要：目的:研究中药烫熨预防脑卒中后下肢深静脉血栓形成治疗3个月后《日常生活能力量表》评分。方法:(1)对象:2008年3月—2009年8月广西中医学院第一附属医院神经内科的住院脑卒中患者共284名。(2)方式:缺血性脑卒中188例,随机分常规治疗组、低分子肝素组、热疗组、中药烫熨组干预,出血性脑卒中96例随机分入常规治疗组、热疗组、中药烫熨组干预。疗程均为10天。3个月后随访。(3)评价:《日常生活能力量表》评分。结果:缺血性脑卒中入组情况4组相似(P>0.05),3个月随访,中药烫熨组《日常生活能力量表》评分高于常规治疗组和热疗组(P<0.05),且有显著差异。与低分子肝素组无明显差别(P>0.05)。出血性脑卒中入组情况3组相似(P>0.05),3个月随访,中药烫熨组《日常生活能力量表》评分高于常规治疗组和热疗组(P<0.05),且有显著差异。结论:中药烫熨可有效提高患者病后的生活质量,有助患者进行康复治疗,降低致残率。且无严重不良反应,值得推广使用。Objective：Study of＂ADL＂score 3 months after treatment,that was thermotherapy with traditional chinese medicine to prevent deep venous thrombosis with stroke.Method：284 cases with stroke admitted to the department of neurology in the first affiliated hospital of Guangxi traditional Chinese medicine university between March 2008 and August 2009 were consecutively investigated.188 patients with cerebral arterial thrombosis were randomly divided into conventional therapy group,thermotherapy group,Low Molecular Heparin group,thermotherapy with traditional Chinese medicine group.96 cases of cerebral arterial thrombosis were randomly divided into conventional therapy group,thermotherapy group,thermotherapy with traditional Chinese medicine group.Course of treatment were 10 day.＂ADL＂score was given after follow-up 3 months later.Results：The cases of cerebral arterial thrombosis were similar pre-treatment（P〉0.05）.＂ADL＂score of thermotherapy with traditional Chinese medicine group was higher than pre-treatmentm 3 months later,and there had no significant difference with Low Molecular Heparin group（P〉0.05）.It had significant differences of the other two（P〈0.05）.The cases of cerebral arterial thrombosis were similar pre-treatment（P〉0.05）.＂ADL＂score of thermotherapy with traditional Chinese medicine group was higher than pre-treatmentm 3 months later,and it had significant differences of the other two（P〈0.05）.Conclusion：Thermotherapy with traditional Chinese medicine could improved the quality of life of patients after the disease and help patients with rehabilitation,reduce disability.There was no serious adverse reactions,and it was worth generalization.

关 键 词：中药烫熨 深静脉血栓形成 日常生活能力量表 

分 类 号：R364.15[医药卫生—病理学]