益气法对卒中后疲劳气虚证患者中医证候、运动功能及日常生活活动能力的影响  

Tonify-qi Therapy Has Effect on Chinese Medicine Syndrome, Motor Function and Activity of Daily Living in Patients with Post-Stroke Fatigue with Qi Deficiency Syndrome

作　　者：刘均仪 王袖平 徐珊 常虹 林敏霞 方亮 LIU Junyi,WANG Xiuping,XU Shan,CHANG Hong,LIN Minxia,FANG Liang

机构地区：[1]广州市海珠区中医医院康复科,广东广州510220

出　　处：《新中医》2018年第5期48-51,共4页New Chinese Medicine

基　　金：广州市中医药科技项目(20162A011025)

摘　　要：目的:观察益气法对卒中后疲劳气虚证患者中医证候、运动功能及日常生活活动能力的影响。方法:将60例卒中后疲劳气虚证患者随机分为治疗组、对照组各30例。2组均予常规内科治疗与康复训练,对照组加服胞二磷胆碱钠片,治疗组加用益气法方药益气消疲汤治疗,2组疗程均为4周。观察治疗前后2组中医证候积分、简化Fugl-Meyer量表(FMA)评分、改良Barthel指数(MBI)评分的变化。结果:治疗后,总有效率治疗组93.33%,对照组76.67%,2组比较,差异有统计学意义(P<0.05)。2组简化FMA评分及MBI评分均较治疗前增加,差异均有统计学意义(P<0.01,P<0.05);治疗组2项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:在内科治疗与康复训练基础上加用益气法方药益气消疲汤治疗卒中后疲劳,可有效缓解症状、消除疲劳、恢复精力,改善运动功能,提高日常生活活动能力与生活质量,利于患者早日回归家庭和社会。Objective： To observe the effect of tonify-qi therapy on Chinese medicine syndrome,motor function and activity of daily living in patients with post-stroke fatigue with qi deficiency syndrome. Methods：Selected 60 cases of patients with post-stroke fatigue with qi deficiency syndrome, and divided them into the treatment group and the control group randomly, 30 cases in each group. Both groups received routine medical treatment and rehabilitation training; the control group additionally received citicoline sodium tablets for treatment, while the treatment group additionally received the prescription of Yiqi Xiaopi tang in tonify-qi therapy for treatment. The treatment of the two groups lasted for four weeks.Observed changes of Chinese medicine syndrome scores, scores of simplified Fugl-Meyer assessment scale（FMA） and modified barthel index（MBI） before and after treatment in the two groups. Results：After treatment,the total effective rate was 93.33% in the treatment group and was 76.67% in the control group,the difference being significant（P〈0.05）. Scores of simplified FMA and MBI in the two groups were increased when compared with those before treatment,differences being significant（P〈0.01,P〈0.05）. The above two scores in the treatment group were higher than those in the control group,differences being significant（P〈0.05）. Conclusion：Based on the medical treatment and rehabilitation training,the additional administration of the prescription of Yiqi Xiaopi tang in tonify-qi therapy for patients with post-stroke fatigue can effectively relieve symptoms,eliminate fatigue,help recover energy and improve motor function,activity of daily living and quality of life,which is beneficial for patients to early returning to family and society.

关 键 词：卒中后疲劳 气虚证 中西医结合疗法 益气消疲汤 简化Fugl-Meyer量表(FMA) 改良Barthel指数(MBI) 

分 类 号：R225.2[医药卫生—中医基础理论]