基于BI个体化中西医结合疗法探讨其对脑卒中偏瘫患者康复的影响  

Effect of Individualized Integrated Traditional Chinese and Western Medicine on Rehabilitation of Hemiplegic Patients After Stroke Based on BI

作　　者：谢瑞怡 支梦伟 范海青[1] 范红霞 戴新娟[1] XIE Rui-yi;ZHI Meng-wei;FAN Hai-qing;FAN Hong-xia;DAI Xin-juan(Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing Jiangsu 210029)

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《世界中西医结合杂志》2020年第10期1918-1922,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：江苏省中医院院级课题项目(Y20064)。

摘　　要：目的探讨脑卒中偏瘫患者中基于Barthel指数(BI)的个体化中西医结合疗法的操作方法,并观察其康复效果。方法选取83例脑卒中偏瘫患者以随机数字表分为对照组(40例,常规西医康复治疗)和个体化组(43例,基于BI的个体化中西医结合治疗)。对比治疗前后BI、Fugl-Meyer运动功能量表(FMA)评分变化,治疗前后神经功能缺损程度(NIHSS)评分、膝关节活动度和髋关节活动度变化及不良反应发生情况。结果治疗后两组BI评分、FMA评分、膝关节活动度和髋关节活动度均较本组治疗前增加(P<0.05),且治疗后个体化组BI评分、FMA评分、膝关节活动度和髋关节活动度均高于对照组(P<0.05);治疗后两组NIHSS评分均较本组治疗前降低(P<0.05),且治疗后个体化组NIHSS评分低于对照组(P<0.05);个体化组康复效果与对照组等级分布比较差异有统计学意义(P<0.05),且个体化组康复总有效率高于对照组(P<0.05);个体化组不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论对脑卒中偏瘫患者实施基于BI的个体化中西医结合疗法能够改善日常生活能力和运动功能,减轻神经功能缺损,提升膝关节和髋关节活动度,康复效果理想且具有安全性。Objective To explore the operation method of individualized integrated traditional Chinese and western medicine based on Barthel index(BI) in stroke patients with hemiplegia,and observe its rehabilitation effect.Methods A total of 83 stroke patients with hemiplegia were divided into a control group(40 cases,conventional Western medicine rehabilitation treatment) and an individualized group(43 cases,BI-based individualized integrated Chinese and Western medicine treatment) according to a random number table.The changes of BI,Fugl-Meyer motor function scale(FMA)scores before and after treatment,changes in neurological impairment(NIHSS) score,knee and hip range of motion before and after treatment,rehabilitation effects,and adverse reactions were compared.Results After treatment,the BI score,FMA score,knee range of motion and hip range of motion of the two groups increased(P<0.05),and the individualized group BI score,FMA score,knee range of motion and hip range of motion after treatment Both were higher than the control group(P<0.05).The NIHSS scores of the two groups were reduced after treatment(P<0.05),and the NIHSS score of the individualized group was lower than that of the control group(P<0.05).The rehabilitation effect of the individualized group was compared with the control.The difference between the group grade distribution was statistically significant(P<0.05),and the total effective rate of rehabilitation in the individualized group was higher than that of the control group(P< 0.05).The incidence of adverse reactions between the individualized group and the control group was not statistically different Significance(P>0.05).Conclusion The implementation of BI-based individualized integrated traditional Chinese and Western medicine therapy for stroke patients with hemiplegia can improve the ability of daily living and motor function,reduce neurological deficits,and improve the mobility of the knee and hip joints.The rehabilitation effect is ideal and safe.

关 键 词：BARTHEL指数 个体化 中西医结合疗法 脑卒中偏瘫 康复效果 

分 类 号：R473[医药卫生—护理学]