中药熏蒸辅助康复治疗脑梗死痉挛性偏瘫临床研究  

Clinical Study on Chinese Herbal Fumigation in Adjuvant Treatment for Spastic Hemiplegia Following Cerebral Infarction

作　　者：姚虹 江莹莹 陈春晓 YAO Hong;JIANG Yingying;CHEN Chunxiao

机构地区：[1]台州恩泽医疗中心(集团)台州医院

出　　处：《新中医》2019年第11期274-276,共3页New Chinese Medicine

摘　　要：目的:观察中药熏蒸辅助康复治疗脑梗死痉挛性偏瘫的康复效果。方法:将100例患者随机分为对照组和观察组,各50例。对照组在常规内科及二级预防治疗措施的基础上联合康复治疗;观察组在对照组的基础上加用中药熏蒸疗法,2组均治疗3周;应用改良Ashworth分级评价临床疗效;比较治疗前后Fugl-Meyer量表(FMA)、日常生活活动能力(ADL)量表、美国国立卫生研究院脑卒中量表(NIHSS)和风痰瘀阻证评分。结果:经秩和检验,观察组痉挛程度临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者FMA量表上肢评分、下肢评分及总分均较治疗前明显升高(P<0.05);且观察组上述各项评分均高于对照组(P<0.05)。治疗后,2组患者NIHSS和风痰瘀阻证评分较治疗前下降(P<0.05),ADL评分较治疗前升高(P<0.05);且观察组上述各项评分改善均优于对照组(P<0.05)。结论:在常规康复治疗的基础上,中药熏蒸干预缺血性中风痉挛性偏瘫患者,可降低患者肢体的肌张力,改善其神经功能缺损程度,提高患者日常生活活动能力,疗效显著。Objective:To observe the rehabilitation effect of Chinese herbal fumigation in adjuvant treatment for spastic hemiplegia following cerebral infarction.Methods:Divided 100 cases of patients into the control group and the observation group randomly,50 cases in each group.The control group received routine internal medical and second-degree measures for prevention and treatment combined with rehabilitation therapy,while the observation group additionally received Chinese herbal fumigation.The treatment of both groups lasted for 3 weeks.Observed the gradation of modified Ashworth scale in both groups,and evaluated the clinical effect;compared the scores of Fugl-Meyer assesement(FMA),activities of daily living scale(ADL),national institute of health stroke scale(NIHSS) and wind-phlegm stagnation syndrome before and after treatment.Results:By means of rank sum test,the clinical effect of spastic degree in the observation group was better than that in the control group,difference being significant(P<0.05).After treatment,the FMA scale scores of upper limbs,scores of lower limbs and the total score of patients in both groups were significantly higher than those before treatment(P<0.05);each score in the observation group was higher than that in the control group(P<0.05).After treatment,the scores of NIHSS and wind-phlegm stagnation syndrome in both groups were significantly lower than those before treatment(P<0.05),and the scores of ADL were higher than those before treatment(P<0.05);each score in the observation group was improved better than that in the control group(P<0.05).Conclusion:Based on the routine rehabilitation therapy,the application of Chinese herbal fumigation in adjuvant treatment has significant therapeutic effect in intervening patients with spastic hemiplegia following cerebral infarction can reduce muscular tension,decrease the degree of neurologic impairment and promote activities of daily living.

关 键 词：缺血性中风 痉挛性偏瘫 风痰瘀阻证 中药熏蒸 康复治疗 

分 类 号：R248[医药卫生—中医临床基础] R743.3[医药卫生—中医学]