化痰祛瘀汤联合电刺激治疗对老年脑梗死患者血流动力学、MoCA评分及肢体功能的影响  

Effects of Huatan Quyu Decoction combined with neuromuscular electrical stimulation on hemodynamics,MoCA score,and limb function in elderly patients with cerebral infarction

作　　者：赵雪超 刘争辉 崔站军 ZHAO Xue-chao;LIU Zheng-hui;CUI Zhan-jun(Department of Rehabilitation, Xi'an North Hospital, Xi'an 710043, Shaanxi, CHINA;Department of Gastroenterology Ⅱ, the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, CHINA)

机构地区：[1]西安北方医院康复科,陕西西安710043 [2]陕西中医药大学附属医院消化二科,陕西咸阳712000

出　　处：《海南医学》2019年第7期842-845,共4页Hainan Medical Journal

摘　　要：目的探讨化痰祛瘀汤、神经肌肉电刺激联合治疗对老年脑梗死患者血流动力学、蒙特利尔认知评估量表(MoCA)评分及肢体功能的影响。方法选取2016年5月至2018年5月西安北方医院收治的130例老年脑梗死患者作为受试对象,按照入院先后顺序将其分为对照组63例和观察组67例。对照组患者在常规治疗基础上给予神经肌肉电刺激治疗,5 d为一个疗程,第一疗程结束后间隔2 d进行下个疗程;观察组患者在对照组基础上另给予化痰祛瘀汤治疗,7 d为一个疗程,两组均治疗三个疗程。比较两组患者治疗前后的局部大脑血流量、大脑中动脉平均血流速度、MoCA评分、Fugl-Meyer评分量表(FMA)评分和美国国立卫生研究院卒中量表(NIHSS)评分,并评价其治疗效果。结果治疗后观察组患者的局部大脑血流量和大脑中动脉平均血流速度分别为(58.49±11.72) mL/(100 g·min)、(74.18±15.06) cm/s,均明显高于对照组的(42.17±10.65) mL/(100 g·min)、(59.10±12.73) cm/s,差异均有统计学意义(P<0.05);治疗后观察组患者的MoCA评分和FMA评分分别为(23.86±4.69)分、(64.19±15.27)分,均明显高于对照组的(19.77±4.15)分、(50.28±12.43)分,差异均有统计学意义(P<0.05);治疗后观察组患者的NIHSS评分为(10.67±2.51)分,明显低于对照组的(14.89±2.98)分,差异有统计学意义(P<0.05);观察组患者的治疗总有效率为85.07%,明显高于对照组的68.25%,差异均有统计学意义(P<0.05)。结论化痰祛瘀汤联合神经肌肉电刺激治疗能有效改善老年脑梗死患者脑部血流供应情况,提高患者认知和肢体功能,治疗效果好。Objective To investigate the effects of Huatan Quyu Decoction combined with neuromuscular electrical stimulation on hemodynamics, Montreal Cognitive Assessment Scale(MoCA) score, and limb function in elderly patients with cerebral infarction. Methods A total of 130 elderly patients with cerebral infarction admitted to Xi’an North Hospital from May 2016 to May 2018 were selected as subjects. They were divided into control group(63 cases)and observation group(67 cases) according to the order of admission. Patients in the control group were given neuromuscular electrical stimulation therapy on the basis of routine treatment, with 5 days as a course of treatment and an interval of 2 days between each two courses of treatment. Patients in the observation group were given Huatan Quyu Decoction on the basis of the control group, with 7 days as a course of treatment. The two groups were both treated for 3 courses.Local cerebral blood flow, mean blood flow velocity of middle cerebral artery, MOCA score, Fugl-Meyer scale(FMA)score, and NIHSS score were observed before and after treatment, and the therapeutic effect was evaluated. Results After treatment, the local cerebral blood flow and the mean blood flow velocity of middle cerebral artery in the observation group were(58.49±11.72) m L/(100 g·min) and(74.18±15.06) cm/s, respectively, which were significantly higher than(42.17±10.65) mL/(100 g·min) and(59.10±12.73) cm/s in the control group(P<0.05). After treatment, the scores of MOCA and FMA in the observation group were 23.86±4.69 and 64.19±15.27, respectively, which were significantly higher than 19.77±4.15 and 50.28±12.43 in the control group(P<0.05). After treatment, the NIHSS score of the patients in the observation group was 10.67±2.51, which was significantly lower than 14.89±2.98 in the control group(P<0.05). The total effective rate of the patients in the observation group was 85.07%, which was significantly higher than 68.25% of the control group(P<0.05). Conclusion Huatan Quyu Decoction combined

关 键 词：脑梗死 化痰祛瘀汤 神经肌肉电刺激 血流动力学 蒙特利尔认知评估量表 Fugl-Meyer评分量表 疗效 

分 类 号：R743.33[医药卫生—神经病学与精神病学]