炙甘草汤联合有氧运动对脑卒中气阴两虚证患者心功能影响的研究  

Effect of roast radix glycyrrhizae decoction combined with aerobic exercise on cardiac function in stroke pa⁃tients with deficiency of Qi and Yin

作　　者：吴玉丽 周敏[2] 周文姬 李丽萍[2] 黄金秀[2] WU Yuli;ZHOU Min;ZHOU Wenji(Department of Acupuncture and Reha-bilitation,Hangzhou Hospital of Traditional Chinese Medicine(Dingqiao District),Hangzhou 310000,China)

机构地区：[1]杭州市丁桥医院针灸康复科,浙江杭州310000 [2]杭州市中医院针灸康复科

出　　处：《全科医学临床与教育》2022年第2期130-132,137,共4页Clinical Education of General Practice

基　　金：杭州市医学重点学科建设项目资助(2020SJZDXK05);浙江省医学会临床科研基金项目(2019ZYC-A94)。

摘　　要：目的探讨炙甘草汤联合有氧运动对脑卒中气阴两虚证患者心功能影响。方法选择90例脑卒中气阴两虚证患者,随机分为三组:炙甘草汤组、有氧运动组和基础康复组,每组各30例。比较三组患者治疗前后的Fugl-Meyer评定量表(FMA)评分、Barthel指数(BI)、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)的差异。结果治疗8周后,三组的FMA、BI、LVEF、LVESD比较,差异均有统计学意义(F分别=111.33、403.41、34.06、521.56,P均<0.05)。进一步两两比较发现,治疗后炙甘草汤组的FMA、BI、LVEF高于基础康复组(LSD-t分别=14.89、28.39、8.25,P均<0.05)和有氧运动组(LSD-t分别=6.67、14.82、4.44,P均<0.05),LVESD低于基础康复组和有氧运动组,差异均有统计学意义(LSD-t分别=-32.27、-17.29,P均<0.05)。结论脑卒中气阴两虚证患者在常规康复治疗基础上,联合有氧运动训练和炙甘草汤,能够提高其心功能。Objective To study the effect of roast radix glycyrrhizae decoction combined with aerobic exercise on car-diac function of stroke patients with deficiency of Qi and Yin.Methods A total of 90 stroke patients with deficiency of Qi and Yin were randomly divided into basic rehabilitation group,aerobic exercise group,and roast radix glycyrrhizae de-coction group,with 30 patients in each group.Differences in the scores of Barthel index(BI)and Fugl-Meyer assessment scale(FMA),left ventricular ejection fraction(LVEF)and left ventricular end-systolic diameter(LVESD)before and after treatment among the three groups were compared.Results After 8 weeks of treatment,the differences in FMA,BI,LVEF and LVESD among the three groups were statistically significant(F=111.33,403.41,34.06,521.56,P<0.05).A further pairwise comparison revealed that scores of FMA,BI and LVEF in roast radix glycyrrhizae decoction group were higher than those in basic rehabilitation group(LSD-t=14.89,28.39,8.25,P<0.05)and aerobic exercise group(LSD-t=6.67,14.82,4.44,P<0.05),and LVESD was lower than those in basic rehabilitation group and aerobic exercise group,the dif-ferences were statistically significant(LSD-t=-32.27,-17.29,P<0.05).Conclusion On the basis of routine rehabilita-tion treatment,aerobic exercise training and roast radix glycyrrhizae decoction can improve the cardiac function of stroke patients with deficiency of Qi and Yin.

关 键 词：脑卒中 有氧运动 炙甘草汤 心功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]