血府逐瘀汤熏蒸联合振动疗法治疗脑卒中恢复期下肢肌张力增高临床研究  

Clinical Study on Fumigation with Xuefu Zhuyu Tang Combined with Vibration Therapy for Strengthened Muscle Tension of Lower Limbs During Convalescence Stage of Stroke

作　　者：陈文煜 胡杰 郑贺彬 CHEN Wenyu;HU Jie;ZHENG Hebin

机构地区：[1]温州市中医院,浙江温州325000

出　　处：《新中医》2022年第10期51-54,共4页New Chinese Medicine

基　　金：温州市科技局基础性医疗卫生科研项目(Y2020901)。

摘　　要：目的:观察血府逐瘀汤熏蒸联合振动疗法治疗脑卒中恢复期下肢肌张力增高的临床疗效,以及对患者运动功能的影响。方法:选取82例脑卒中恢复期下肢肌张力增高患者,采用随机数字表法分为对照组和观察组各41例。对照组给予振动疗法治疗,观察组在对照组基础上加用血府逐瘀汤熏蒸治疗,2组均治疗8周。比较2组临床疗效、不良反应发生率及治疗前后肌张力、运动功能。结果:观察组总有效率90.24%,高于对照组70.73%(P<0.05)。治疗后,2组改良Ashworth量表(MAS)评分、均方根振幅(RMS)值均较治疗前降低(P<0.05),观察组MAS评分、RMS值均低于对照组(P<0.05);2组下肢FuglMeyer运动功能评定量表(FMA-L)、Holden功能性步行量表(FAC)评分均较治疗前升高(P<0.05),观察组FMA-L、FAC评分均高于对照组(P<0.05)。观察组不良反应发生率9.76%,对照组不良反应发生率4.88%,2组比较,差异无统计学意义(P>0.05)。结论:血府逐瘀汤熏蒸联合振动疗法治疗脑卒中恢复期下肢肌张力增高临床疗效较好,可有效降低患者的肌张力,改善其运动功能,安全性好。Objective:To observe the clinical effect of fumigation with Xuefu Zhuyu tang combined with vibration therapy for strengthened muscle tension of lower limbs during convalescence stage of stroke and its effects on motor function of patients.Methods:A total of 82 cases of patients with strengthened muscle tension of lower limbs during convalescence stage of stroke were selected and divided into the control group and the observation group according to the random number table method,with 41 cases in each group.The control group was treated with vibration therapy,and the observation group was additionally treated with fumigation with Xuefu Zhuyu tang based on the treatment of the control group.Both groups were treated for eight weeks.Muscle tension and motor function before and after treatment as well as clinical effects and incidences of adverse reactions in the two groups were compared.Results:The total effective rate was 90.24%in the observation group,higher than that of 70.73%in the control group(P<0.05).After treatment,scores of Modified Ashworth Scale(MAS)and values of root mean square(RMS)in the two groups were decreased when compared with those before treatment(P<0.05),and MAS score and RMS value in the observation group were lower than those in the control group(P<0.05);the scores of Fugl-Meyer Assessment-Lower Extremity(FMA-L)and Holden Functional Ambulation Categories(FAC)in the two groups were increased when compared with those before treatment(P<0.05),and the two scores in the observation group were higher than those in the control group(P<0.05).The incidence of adverse reactions was 9.76%in the observation group and 4.88%in the control group,there being no significance being found in the difference(P>0.05).Conclusion:Fumigation with Xuefu Zhuyu tang combined with vibration therapy has a good clinical effect in the treatment of strengthened muscle tension of lower limbs during convalescence stage of stroke.It can effectively reduce muscle tension of patients and improve motor function with good safety.

关 键 词：脑卒中 恢复期 下肢肌张力增高 血府逐瘀汤 熏蒸 振动疗法 均方根振幅 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]