中西医综合康复疗法对脑梗死恢复期(气虚血瘀证)患者运动功能的影响  

Effect of Comprehensive Rehabilitation Therapy of Chinese and Western Medicine on the Motor Function of Patients with Cerebral Infarction(Qi Deficiency and Blood Stasis Syndrome)

作　　者：庞增园 刘永恬 周晓燕[2] 胡冬梅 PANG Zengyuan;LIU Yongtian;ZHO U Xiaoyan;HU Dongmei(Guangzhou Baiyun District People ＂s Hospital,Guangdong Guangzhou 510400,China;Guangzhou Tianhe District Traditional Chinese Medicine Hospital,Guangdong Guangzhou 510655,China)

机构地区：[1]广东省广州市白云区人民医院,广东广州510400 [2]广东省广州市天河区中医医院,广东广州510655

出　　处：《中医药临床杂志》2018年第8期1477-1480,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：广东省广州市天河区科技工业和信息化局科技计划资助项目(编号:201604KW021)

摘　　要：目的:观察中西医综合康复疗法对脑梗死恢复期(气虚血瘀证)患者运动功能的影响。方法:将90例符合纳入标准和排除标准的脑梗死恢复期(气虚血瘀证)患者随机数分为对照组和治疗组各45例,对照组给予西医常规药物治疗和康复训练,治疗组在西医常规药物治疗和康复训练基础上给予中西医综合康复疗法(包含中药汤剂、针灸、电脑中频电疗仪电刺激穴位及经颅电磁刺激治疗),治疗4周后,比较两组治疗前后的简化Fugl-Meyer运动功能量表(FMA)评分及改良Rankin量表评级。结果:两组FMA积分与治疗前比较均有明显提高(P<0.01);治疗后治疗组FMA积分与对照组比较,差异有统计学意义(P<0.05);两组改良Rankin量表评级与治疗前比较均有明显下降(P<0.01);治疗后治疗组改良Rankin量表评级与对照组比较,差异有统计学意义(P<0.01)。结论:中西医综合康复疗法能显著改善脑梗死恢复期(气虚血瘀证)患者患肢的运动功能,能显著降低患者的残疾程度。Objective：to observe the effect of comprehensive rehabilitation therapy of Chinese and western medicine on the motor function of patients with cerebral infarction（Qi deficiency and blood stasis syndrome）.Methods：90 patients with cerebral infarction（Qi deficiency and blood stasis syndrome） that meet the inclusion criteria and excluded standard were divided into the control group and the treatment group in 45 cases according to the random number table method.The control group was given the traditional medicine treatment and rehabilitation training of western medicine,and the treatment group was given the comprehensive rehabilitation therapy of traditional Chinese and western medicine（including TCM decoction,acupuncture,computer intermediate frequency electron-therapy instrument stimulation acupoint and transcranial electromagnet stimulation） on the basis of traditional western medicine treatment and rehabilitation training,and compared the two groups before and after the treatment to simplify the fugl-meyer motor function scale（FMA） score and the modified Rankin scale.Results：Two groups of FMA integration are obviously improved compared with before treatment（P〈0.01）;The FMA integral of the treatment group was compared with the control group,and the difference was statistically significant（P〈0.05）.Two groups of modified Rankin scales were significantly lower than those before treatment（P〈0.01）.After treatment,the modified Rankin scale was compared with the control group,and the difference was statistically significant（P〈0.01）.Conclusion：The comprehensive rehabilitation therapy of Chinese and western medicine can significantly improve the motor function of patients with cerebral infarction recovery period（Qi deficiency and blood stasis syndrome）,which can significantly reduce the degree of disability of the patients.

关 键 词：中西医综合康复疗法 中风 脑梗塞恢复期 气虚血瘀 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]