银杏达莫结合早期康复训练护理对脑梗死患者语言及运动功能障碍恢复的效果观察  

Effect Observation of Ginkgo Dipyridolum Combined with Early Rehabilitation Training on Recovery of Language and Motor Dysfunction in Patients with Cerebral Infarction

作　　者：庞贺春 刘向荣[2] 

机构地区：[1]北京市大兴区人民医院神经内科,北京102600 [2]首都医科大学宣武医院脑血管病研究室,北京100053

出　　处：《中国药业》2014年第21期5-7,共3页China Pharmaceuticals

基　　金：国家自然科学基金;项目编号:81000504

摘　　要：目的探讨银杏达莫结合早期康复训练护理对脑梗死患者语言及运动功能障碍恢复的效果。方法将200例脑梗死患者按照随机数字表法分为观察组和对照组,各100例。对照组给予常规治疗,观察组加用银杏达莫治疗,两组患者均接受相同的康复训练护理干预。1个月后比较两组患者的下肢运动功能、日常生活能力、平衡能力和语言功能改善情况。结果治疗1个月后,观察组神经功能缺损评分为(9.44±2.06)分,显著低于对照组的(12.25±2.13)分(P<0.05);观察组BI,FMA,Berg评分分别为(67.62±11.74)分、(23.55±3.73)分、(32.74±8.63)分,均分别高于对照组的(56.93±10.62)分、(19.57±3.34)分、(26.65±8.54)分(P<0.05);观察组书写和阅读、复述、听觉理解、自发言语、信息量、流畅度得分均高于对照组(P<0.05);观察组血小板聚集率、超敏C-反应蛋白(hs-CRP)水平均低于对照组(P<0.05)。结论银杏达莫结合早期康复训练护理可以显著改善患者的神经功能缺损,显著促进患者语言及运动功能恢复。Objective To investigate the effect of ginkgo dipyridolum and early rehabilitation training care on the recovery of language and motor dysfunction in the patients with cerebral infarction. Methods 200 patients with cerebral infarction were randomly divided into the observation group and the control group according to the random number table,100 cases in each group. The control group was given the conventional treatment,while the observation group was added with ginkgo dipyridolum. The both groups received the same nursing intervention of rehabilitation training. The improvement of lower limb motor function, daily life ability, balance ability and language function were compared between two groups after one month. Results The nerve function defect score after one month treatment in the observation group of was 9. 44 ± 2. 06,which was significantly lower than 12. 25 ± 2. 13 that in the control group（ P 0. 05）; the BI,FMA and Berg scores in the observation group were 67. 62 ± 11. 74,23. 55 ± 3. 73 and 32. 74 ± 8. 63 respectively,which were higher than 56. 93 ± 10. 62,19. 57 ±3. 34,26. 65 ± 8. 54 in the control group（ P〈0. 05）; the writing and reading,repeating,auditory comprehension,spontaneous speech,information content and fluency scores in the observation group were higher than those in the control group（ P〈0. 05）; the rate of platelet aggregation and hs- CRP levels in the observation group were lower than those in the control group（ P〈0. 05）. Conclusion Ginkgo dipyridolum combined with early rehabilitation training care can significantly improve the neural function defect,significantly promote the recovery of language and motor function in the patients with cerebral infarction.

关 键 词：脑梗死 早期康复训练 银杏达莫 运动功能 语言功能 

分 类 号：R285.6[医药卫生—中药学] R286[医药卫生—中医学]