扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期临床研究  

Clinical Study on Zhachong Shisanwei Pills Combined with Warming-Wax Therapy for Cerebral Infarction in Convalescent Stage

作　　者：贾健玮 周骏奥 JIA Jianwei;ZHOU Jun’ao

机构地区：[1]金华文荣医院内科,浙江金华321017

出　　处：《新中医》2021年第21期100-103,共4页New Chinese Medicine

摘　　要：目的:观察扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期患者的临床疗效及对神经功能、活动能力的影响。方法:回顾性分析122例脑梗死恢复期患者的临床资料,根据资料中的治疗方法将患者分为对照组与治疗组各61例。对照组给予常规治疗,治疗组在对照组基础上运用扎冲十三味丸联合温热蜡疗治疗。比较2组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力评定量表(ADL)评分、Rivemead运动指数(RMI)评分、Berg平衡量表(BBS)评分、Fugl-Meyer上肢运动功能量表(S-FMMFA上肢)及Fugl-Meyer下肢运动功能量表(S-FMMFA下肢)评分变化,并比较2组临床疗效及不良反应发生情况。结果:治疗组总有效率95.08%,高于对照组83.61%(P<0.05)。与同组治疗前比较,治疗后2组NIHSS评分降低(P<0.05),ADL、RMI、BBS、S-FMMFA上肢、S-FMMFA下肢评分均升高(P<0.05);与对照组治疗后比较,治疗组治疗后NIHSS评分较低(P<0.05),ADL、RMI、BBS、S-FMMFA上肢、S-FMMFA下肢评分均较高(P<0.05)。2组不良反应比较,差异无统计学意义(P>0.05)。结论:扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期患者疗效确切,可有效促进患者神经功能恢复,提高生活质量,改善肢体活动能力,且不良反应少。Objectives:To observe the clinical effect of Zhachong Shisanwei pills combined with warming-wax therapy for patients with cerebral infarction in convalescent stage and its effect on neurological function and activity ability. Methods:A total of 122 cases of patients with cerebral infarction in convalescent stage were given a retrospective analysis on their clinical data and were divided into the control group and the treatment group according to different treatment methods,with61 cases in each group. The control group was given routine treatment,and the treatment group was additionally treated with Zhachong Shisanwei pills combined with warming-wax therapy based on the treatment of the control group. Before and after treatment,the changes of scores of National Institutes of Health Stroke Scale(NIHSS),Activity of Daily Living Scale(ADL),Rivermead Mobility Index(RMI),Berg Balance Scale(BBS),upper-extremity motor subscale of simplified Fugl-Meyer motor function assessment(S-FMMFA upper extremity) and lower-extremity motor subscale of simplified Fugl-Meyer motor function assessment(S-FMMFA lower extremity) in the two groups were compared, and the clinical effects and adverse reactions in the two groups were compared. Results:The total effective rate was 95.08% in the treatment group,higher than that of 83.61% in the control group(P<0.05). After treatment, the NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of ADL,RMI,BBS,S-FMMFA upper extremity and S-FMMFA lower extremity were increased(P<0.05);the NIHSS score in the treatment group was lower than that in the control group(P<0.05),and the scores of ADL,RMI,BBS,S-FMMFA upper extremity and S-FMMFA lower extremity were higher(P<0.05). There was no significant difference being found in the comparison of adverse reactions between the two groups(P>0.05). Conclusion: Zhachong Shisanwei pills combined with warming-wax therapy has a definite curative effect on patients with cerebral infarction in convalescent stag

关 键 词：脑梗死恢复期 扎冲十三味丸 温热蜡疗 神经功能 活动能力 

分 类 号：R277.7[医药卫生—中医学]