回医搦药疗法配合康复训练治疗中风上肢瘫痪的效果观察  

Evaluation of the clinical curative effect of HuiYi NuoYao therapy for stroke upper limb paralysis

作　　者：王英絮[1] 宋俊垚 张艳玲[1] 温莎 冶尕西 王建平 徐向阳[4] 高雅贤 杨丽美[6] 唐文龙[7] 

机构地区：[1]宁夏医科大学总医院,宁夏银川750004 [2]宁夏中医医院,宁夏银川750021 [3]宁夏中卫市中医医院,宁夏中卫755000 [4]宁夏银川市第一人民医院,宁夏银川750001 [5]宁夏石嘴山市中医医院,宁夏石嘴山753000 [6]宁夏医科大学,宁夏银川750004 [7]陕西中医学院,陕西咸阳712046

出　　处：《宁夏医学杂志》2016年第8期698-701,共4页Ningxia Medical Journal

基　　金："十二五"国家科技支撑计划项目;宁夏回族地区基层医疗机构卫生适宜技术研究项目(2013BAI05B01);子课题:回医特色八疗技术研究项目(2013BAI05B01-3)

摘　　要：目的评价回医特色搦药疗法治疗中风上肢瘫痪的临床疗效。方法选取100例中风偏瘫患者为研究对象,随机分为观察组和对照组各50例。观察组用回医搦药疗法配合康复训练,对照组用单纯康复训练治疗,分别在治疗前后进行SFMA评定、临床神经功能缺损程度评分、ADL及Wolf运动功能评定,治疗结束后比较总有效率。结果总有效率观察组96.0%优于对照组的83.6%(P<0.05);在SFMA评定方面,观察组治疗4周后评分为(20.74±7.97)分,优于治疗前(7.12±5.51)分及对照组的(15.51±8.82)分(P<0.05);临床神经功能缺损程度评分方面,观察组治疗第4周后评分为(12.84±7.19)分,优于治疗前(25.04±7.91)分(P<0.05)及对照组的(17.59±6.42)分(P<0.05);在ADL评定方面,观察组治疗4周后评分为(68.5±20.71)分,优于治疗前(31.6±18.17)分及对照组的(54.8±17.65)分(P<0.05);Wolf运动功能评定,观察组治疗4周后评分为(41.96±26.35)分,优于治疗前(12.22±14.88)分及对照组的(25.29±20.96)分(P<0.05)。结论回医特色搦药疗法配合康复训练治疗中风上肢瘫痪较单纯康复训练疗效显著,尤其在ADL及Wolf运动功能评定方面起效更快、更安全可靠。Objective To evaluate the clinical curative effect of Hui yinuoyao therapy for stroke upper limb paralysis. Methods 100 cases of stroke upper limb paralysis were selected as the research objects. They were randomly divided into the observational group and the control group,50 cases in each group. The observational group was treated by HuiYiNuoYao therapy combined with recuperative training. The control group only received recuperative training. Before and after treatment, we performed SFMA evaluation, clinical neurological impairment score, ADL and Wolf motor function to assess and compare the total effective rate after treatment. Results The observational group was better than the control group in the total effective rate （ observation group ： 96.0%, control group ： 83.6% ,P 〈0.05）. In SFMA evaluation,after four weeks of treatment,the observational group was better than before treatment and the control group（P 〈0.05 ）. After four weeks of treatment, the observational group was better than before treatment and the control group in the clinical neurological impairment score（ P 〈 0.05 ）. After four weeks of treatment, the observational group was better than before treatment and the control group in ADL（ P 〈 0.05 ）. After four weeks of treatment, the observational group was better than before treatment and the control group in Wolf motor function assessment （P 〈 0.05 ）. Conclusion Hui medical characteristics of Nuoyao combined with recuperative training is more effective for stroke upper limb paralysis than the simple recuperative training, especially in the ADL and Wolf motor function assessment. NuoYao therapy combined with recuperative training is safe and reliable.

关 键 词：回医搦药疗法 康复训练 中风上肢瘫痪 SFMA运动功能评分 

分 类 号：R29[医药卫生—民族医学]